Source avec lien : Safety and Health at Work, (En ligne). https://doi.org/10.1016/j.shaw.2022.12.004
L’objectif était de décrire les arrêts cardiaques extrahospitaliers (ACSO) survenant sur le lieu de travail d’un grand réseau d’urgence, et de comparer l’évolution de leur prise en charge au cours des 15 dernières années. Une étude rétrospective basée sur les données du réseau d’urgence des Alpes du Nord a comparé les caractéristiques des arrêts cardiaques extrahospitaliers entre les cas survenus sur le lieu de travail et hors du lieu de travail, et entre les cas survenus de janvier 2004 à décembre 2010 et de janvier 2011 à décembre 2017.
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.