Key result
Workplace cardiac arrest is linked to higher bystander CPR rates and better overall survival.
Why the study?
Out-of-hospital cardiac arrest occurring in the workplace and its management evolution over 15 years were not well described in a large emergency network.
Observational (n=15,320)
Answers are grounded in this paper and cite their sources.
May guide workplace CPR training priorities; hypothesis-generating and should not yet change practice.
The aim was to describe out-of-hospital cardiac arrest (OHCA) occurring in the workplace of a large emergency network, and compare the evolution of their management in the last 15 years. A retrospective study based on data from the Northern Alps Emergency Network compared characteristics of OHCA between cases in and out the workplace, and between cases occurring from January 2004 to December 2010 and from January 2011 to December 2017. Among the 15,320 OHCA cases included, 320 occurred in the workplace (2.1%). They were more often in younger men, and happened more frequently in an area with access to public defibrillation, had more often a shockable rhythm, had a cardiopulmonary resuscitation started by a bystander more frequently, and had a better outcome. Cardiopulmonary resuscitation started by a bystander was the only chain of survival link that improved for cases occurring after December 2010. Workplace OHCA seems to be managed more effectively than others; however, only a slight survival improvement was observed, suggesting that progress is still needed.
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Descatha et al. (2023) conducted an observational in Out-of-hospital cardiac arrest (n=15,320). Occurrence in the workplace vs. Occurrence outside the workplace was evaluated on Patient outcomes, shockable rhythm, and cardiopulmonary resuscitation started by a bystander. Workplace out-of-hospital cardiac arrests (2.1% of cases) had more frequent bystander CPR and better outcomes compared to others, with a slight survival improvement over the last 15 years.
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