Return to work after out of hospital cardiac arrest, insights from a prospective multicentric French cohort

Nolwen Flajoliet; Jeremy Bourenne; Nathalie Marin; Jonathan Chelly; Jean Baptiste Lascarrou; Cédric Daubin; Wulfran Bougouin; Alain Cariou; Guillaume Geri

doi:10.1016/j.resuscitation.2024.110225

Return to work after out of hospital cardiac arrest, insights from a prospective multicentric French cohort

Resuscitation. 2024 Apr 27:199:110225. doi: 10.1016/j.resuscitation.2024.110225. Online ahead of print.

Authors

Nolwen Flajoliet¹, Jeremy Bourenne², Nathalie Marin³, Jonathan Chelly⁴, Jean Baptiste Lascarrou⁵, Cédric Daubin⁶, Wulfran Bougouin⁷, Alain Cariou⁸, Guillaume Geri⁹

Affiliations

¹ Médecine Intensive Réanimation, APHP, Centre Université Paris Cité, Cochin Hospital, Paris, France. Electronic address: nolwen.flajoliet@hotmail.fr.
² Réanimation des Urgences et Déchocage, CHU La Timone, APHM, Marseille, France; AfterROSC Network Group, Paris, France.
³ Médecine Intensive Réanimation, APHP, Centre Université Paris Cité, Cochin Hospital, Paris, France.
⁴ Intensive Care Unit, Délégation à la Recherche Clinique et à l'Innovation du GHT 83, Centre Hospitalier Intercommunal Toulon La Seyne sur Mer, Toulon, France; AfterROSC Network Group, Paris, France.
⁵ Nantes Université, CHU Nantes, Médecine Intensive Réanimation, Movement - Interactions - Performance, MIP, UR 4334, F-44000 Nantes, France; AfterROSC Network Group, Paris, France.
⁶ Médecine Intensive Réanimation, CHU Caen, Caen, France; AfterROSC Network Group, Paris, France.
⁷ Médecine Intensive Réanimation, Hôpital Jacques Cartier, Massy, France; AfterROSC Network Group, Paris, France.
⁸ Médecine Intensive Réanimation, APHP, Centre Université Paris Cité, Cochin Hospital, Paris, France; AfterROSC Network Group, Paris, France.
⁹ Groupe Hospitalier privé Ambroise Paré-Hartmann, Département Recherche Innovation, 92200 Neuilly-Sur-Seine, France; AfterROSC Network Group, Paris, France.

PMID: 38685375
DOI: 10.1016/j.resuscitation.2024.110225

Abstract

Rationale: About 60 to 70% of out-of-hospital cardiac arrest (OHCA) survivors who worked before cardiac arrest return to work within one year but the precise conditions for this resumption of professional activity remain little known. The objective of this study was to assess components of return to work among OHCA survivors.

Patients and methods: We used the French national multicentric cohort AfterRosc to include OHCA survivors admitted between April 1st 2021 and March 31st 2022, discharged alive from the Intensive Care Unit (ICU), and who were less than 65 years old. A phone-call interview was performed one year after OHCA to assess return to work, level of education, former level of occupation as well as neurological recovery. Geographic and socio-economic data from the patient's residential neighborhoods were also collected. Comparisons were performed between patients who returned to work and those who did not, using non-parametric tests.

Results: Of the 251 patients included in the registry, 86 were alive at ICU discharge and 31 patients that worked prior to the OHCA were included for analysis. Seventeen survivors returned to work after a median delay of 112 days [92-157] Among them, nine (53%) had required initial work adjustments. Overall, only 6 patients (19%) had returned to work ad integrum. Higher educational level, work which required higher competence-level, higher income, living in a better socio-economical neighborhood, as well as better scores on all three standardized MPAI-4 score components (abilities, adjustment and participation) were significantly associated with return to work. Participants that had not returned to work had a significant drop of income (p = 0.0025).

Conclusion: In this prospective study regarding French OHCA survivors, return to work is associated with better socio-economical individual and environmental status, as well as better scores on all MPAI-4 components.

Keywords: OHCA; Out of hospital cardiac arrest; Return to work.