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Return to Work and Participation in Society After Out-of-Hospital Cardiac Arrest

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Harvard

Lilja, G, Nielsen, N, Bro-Jeppesen, J, Dunford, H, Friberg, H, Hofgren, C, Horn, J, Insorsi, A, Kjaergaard, J, Nilsson, F, Pelosi, P, Winters, T, Wise, MP & Cronberg, T 2018, 'Return to Work and Participation in Society After Out-of-Hospital Cardiac Arrest', Circulation. Cardiovascular quality and outcomes, vol. 11, no. 1, pp. e003566. https://doi.org/10.1161/CIRCOUTCOMES.117.003566

APA

Lilja, G., Nielsen, N., Bro-Jeppesen, J., Dunford, H., Friberg, H., Hofgren, C., Horn, J., Insorsi, A., Kjaergaard, J., Nilsson, F., Pelosi, P., Winters, T., Wise, M. P., & Cronberg, T. (2018). Return to Work and Participation in Society After Out-of-Hospital Cardiac Arrest. Circulation. Cardiovascular quality and outcomes, 11(1), e003566. https://doi.org/10.1161/CIRCOUTCOMES.117.003566

CBE

Lilja G, Nielsen N, Bro-Jeppesen J, Dunford H, Friberg H, Hofgren C, Horn J, Insorsi A, Kjaergaard J, Nilsson F, Pelosi P, Winters T, Wise MP, Cronberg T. 2018. Return to Work and Participation in Society After Out-of-Hospital Cardiac Arrest. Circulation. Cardiovascular quality and outcomes. 11(1):e003566. https://doi.org/10.1161/CIRCOUTCOMES.117.003566

MLA

Vancouver

Author

Lilja, Gisela ; Nielsen, Niklas ; Bro-Jeppesen, John ; Dunford, Hannah ; Friberg, Hans ; Hofgren, Caisa ; Horn, Janneke ; Insorsi, Angelo ; Kjaergaard, Jesper ; Nilsson, Fredrik ; Pelosi, Paolo ; Winters, Tineke ; Wise, Matt P ; Cronberg, Tobias. / Return to Work and Participation in Society After Out-of-Hospital Cardiac Arrest. In: Circulation. Cardiovascular quality and outcomes. 2018 ; Vol. 11, No. 1. pp. e003566.

Bibtex

@article{e6d68534faa8494da5ef4c68d0636ac4,
title = "Return to Work and Participation in Society After Out-of-Hospital Cardiac Arrest",
abstract = "BACKGROUND: The aim of this study was to describe out-of-hospital cardiac arrest (OHCA) survivors' ability to participate in activities of everyday life and society, including return to work. The specific aim was to evaluate potential effects of cognitive impairment.METHODS AND RESULTS: Two hundred eighty-seven OHCA survivors included in the TTM trial (Target Temperature Management) and 119 matched control patients with ST-segment-elevation myocardial infarction participated in a follow-up 180 days post-event that included assessments of participation, return to work, emotional problems, and cognitive impairment. On the Mayo-Portland Adaptability Inventory-4 Participation Index, OHCA survivors (n=270) reported more restricted participation In everyday life and in society (47% versus 30%; P<0.001) compared with ST-segment-elevation myocardial infarction controls (n=118). Furthermore, 27% (n=36) of pre-event working OHCA survivors (n=135) compared with 7% (n=3) of pre-event working ST-segment-elevation myocardial infarction controls (n=45) were on sick leave (odds ratio, 4.9; 95% confidence interval, 1.4-16.8; P=0.01). Among the OHCA survivors assumed to return to work (n=135), those with cognitive impairment (n=55) were 3× more likely (odds ratio, 3.3; 95% confidence interval, 1.2-9.3; P=0.02) to be on sick leave compared with those without cognitive impairment (n=40; 36%, n=20, versus 15%, n=6). For OHCA survivors, the variables that were found most predictive for a lower participation were depression, restricted mobility, memory impairment, novel problem-solving difficulties, fatigue, and slower processing speed.CONCLUSIONS: OHCA survivors reported a more restricted societal participation 6 months post-arrest, and their return to work was lower compared with ST-segment-elevation myocardial infarction controls. Cognitive impairment was significantly associated with lower participation, together with the closely related symptoms of fatigue, depression, and restricted mobility. These predictive variables may be used during follow-up to identify OHCA survivors at risk of a less successful recovery that may benefit from further support and rehabilitation.CLINICAL TRIAL REGISTRATION: URL: https://www.clinicaltrials.gov. Unique identifier: NCT01946932.",
author = "Gisela Lilja and Niklas Nielsen and John Bro-Jeppesen and Hannah Dunford and Hans Friberg and Caisa Hofgren and Janneke Horn and Angelo Insorsi and Jesper Kjaergaard and Fredrik Nilsson and Paolo Pelosi and Tineke Winters and Wise, {Matt P} and Tobias Cronberg",
note = "{\textcopyright} 2018 American Heart Association, Inc.",
year = "2018",
month = jan,
doi = "10.1161/CIRCOUTCOMES.117.003566",
language = "English",
volume = "11",
pages = "e003566",
journal = "Circulation: Cardiovascular Quality and Outcomes",
issn = "1941-7713",
publisher = "Lippincott Williams & Wilkins",
number = "1",

}

RIS

TY - JOUR

T1 - Return to Work and Participation in Society After Out-of-Hospital Cardiac Arrest

AU - Lilja, Gisela

AU - Nielsen, Niklas

AU - Bro-Jeppesen, John

AU - Dunford, Hannah

AU - Friberg, Hans

AU - Hofgren, Caisa

AU - Horn, Janneke

AU - Insorsi, Angelo

AU - Kjaergaard, Jesper

AU - Nilsson, Fredrik

AU - Pelosi, Paolo

AU - Winters, Tineke

AU - Wise, Matt P

AU - Cronberg, Tobias

N1 - © 2018 American Heart Association, Inc.

PY - 2018/1

Y1 - 2018/1

N2 - BACKGROUND: The aim of this study was to describe out-of-hospital cardiac arrest (OHCA) survivors' ability to participate in activities of everyday life and society, including return to work. The specific aim was to evaluate potential effects of cognitive impairment.METHODS AND RESULTS: Two hundred eighty-seven OHCA survivors included in the TTM trial (Target Temperature Management) and 119 matched control patients with ST-segment-elevation myocardial infarction participated in a follow-up 180 days post-event that included assessments of participation, return to work, emotional problems, and cognitive impairment. On the Mayo-Portland Adaptability Inventory-4 Participation Index, OHCA survivors (n=270) reported more restricted participation In everyday life and in society (47% versus 30%; P<0.001) compared with ST-segment-elevation myocardial infarction controls (n=118). Furthermore, 27% (n=36) of pre-event working OHCA survivors (n=135) compared with 7% (n=3) of pre-event working ST-segment-elevation myocardial infarction controls (n=45) were on sick leave (odds ratio, 4.9; 95% confidence interval, 1.4-16.8; P=0.01). Among the OHCA survivors assumed to return to work (n=135), those with cognitive impairment (n=55) were 3× more likely (odds ratio, 3.3; 95% confidence interval, 1.2-9.3; P=0.02) to be on sick leave compared with those without cognitive impairment (n=40; 36%, n=20, versus 15%, n=6). For OHCA survivors, the variables that were found most predictive for a lower participation were depression, restricted mobility, memory impairment, novel problem-solving difficulties, fatigue, and slower processing speed.CONCLUSIONS: OHCA survivors reported a more restricted societal participation 6 months post-arrest, and their return to work was lower compared with ST-segment-elevation myocardial infarction controls. Cognitive impairment was significantly associated with lower participation, together with the closely related symptoms of fatigue, depression, and restricted mobility. These predictive variables may be used during follow-up to identify OHCA survivors at risk of a less successful recovery that may benefit from further support and rehabilitation.CLINICAL TRIAL REGISTRATION: URL: https://www.clinicaltrials.gov. Unique identifier: NCT01946932.

AB - BACKGROUND: The aim of this study was to describe out-of-hospital cardiac arrest (OHCA) survivors' ability to participate in activities of everyday life and society, including return to work. The specific aim was to evaluate potential effects of cognitive impairment.METHODS AND RESULTS: Two hundred eighty-seven OHCA survivors included in the TTM trial (Target Temperature Management) and 119 matched control patients with ST-segment-elevation myocardial infarction participated in a follow-up 180 days post-event that included assessments of participation, return to work, emotional problems, and cognitive impairment. On the Mayo-Portland Adaptability Inventory-4 Participation Index, OHCA survivors (n=270) reported more restricted participation In everyday life and in society (47% versus 30%; P<0.001) compared with ST-segment-elevation myocardial infarction controls (n=118). Furthermore, 27% (n=36) of pre-event working OHCA survivors (n=135) compared with 7% (n=3) of pre-event working ST-segment-elevation myocardial infarction controls (n=45) were on sick leave (odds ratio, 4.9; 95% confidence interval, 1.4-16.8; P=0.01). Among the OHCA survivors assumed to return to work (n=135), those with cognitive impairment (n=55) were 3× more likely (odds ratio, 3.3; 95% confidence interval, 1.2-9.3; P=0.02) to be on sick leave compared with those without cognitive impairment (n=40; 36%, n=20, versus 15%, n=6). For OHCA survivors, the variables that were found most predictive for a lower participation were depression, restricted mobility, memory impairment, novel problem-solving difficulties, fatigue, and slower processing speed.CONCLUSIONS: OHCA survivors reported a more restricted societal participation 6 months post-arrest, and their return to work was lower compared with ST-segment-elevation myocardial infarction controls. Cognitive impairment was significantly associated with lower participation, together with the closely related symptoms of fatigue, depression, and restricted mobility. These predictive variables may be used during follow-up to identify OHCA survivors at risk of a less successful recovery that may benefit from further support and rehabilitation.CLINICAL TRIAL REGISTRATION: URL: https://www.clinicaltrials.gov. Unique identifier: NCT01946932.

U2 - 10.1161/CIRCOUTCOMES.117.003566

DO - 10.1161/CIRCOUTCOMES.117.003566

M3 - Journal article

C2 - 29326145

VL - 11

SP - e003566

JO - Circulation: Cardiovascular Quality and Outcomes

JF - Circulation: Cardiovascular Quality and Outcomes

SN - 1941-7713

IS - 1

ER -

ID: 56380903