Work disability after out-of- hospital-cardiac-arrest in Maribor, Slovenia Katja Lah, MD PhD Assistant professor Zalika Klemenc-Ketiš, MD PhD

COID

Introduction We analyzed the success of cardiopulmonary resuscitation (CPR) after after out-of-hospital-cardiac- arrest (OHCA) in Maribor Emergency medical services (EMS), which covers about 200,000 people, in conjunction with work disabillity We reviewed number of CPR and survival rate from 2006 to 2009 and reviewed the work status of patients with CPC (cerebral performance category) 1 in July Average survival rate after OHCA in Europe is 10,7%.

Methods We used retrograde analysis to review OHCA survival rate from to and reviewed the current status of patients, released from the hospital after OHCA rated CPC 1. We analyzed their employment status before and after OHCA. Inclusion criteria were CPC 1 at the discharge from the hospital, exclusion criteria were incomplete data.

CPC Cerebral performance category scale CPC 1. Good cerebral performance: conscious, alert, able to work, might have mild neurologic or psychological deficit. CPC 2. Moderate cerebral disability: : conscious, sufficient cerebral function for independent activities of daily life. Able to work in sheltered environment. CPC 3. Severe cerebral disability: conscious, dependent on others for daily support because of impaired brain function. Ranges from ambulatory state to severe dementia or paralysis. CPC 4. Coma or vegetative state. CPC 5. Brain death.

Results During the research we conducted 296 CPR’s. Survival rate was 47.4%, survival to hospital discharge rate was 23.6%. 34 (11.5%) patients left the hospital rated CPC 1. We included 31 patients. 2 already died, one 5 years after OHCA, another 18 months after OHCA, both were already retired before OHCA. The average age of the survivors was 55.5 years, same as that of all revived (55.5 years).

Results Survival rate47,4 % Discharge rate23,6 % (69 patients) CPC 111,5 % (34 patients)

Results Detailed results – number and percentage: still active without limitations 2 (6,5%), still active - limitations before OHCA 3 (9,6%), still active - limitations after OHCA 2 (6,5%), regularly retired after OHCA 7 (22,5%); average work time after OHCA was 46 months, disability retirement after OHCA 3 (9,6%), unemployed 4 (12,9%), retired before OHCA 10 (32,2%), incomplete data 3 (9,6%).

Results N=34 StatusNumbers and pecentage still active without limitations2 (6,5%) still active - limitations before OHCA3 (9,6%) still active - limitations after OHCA2 (6,5%) average work time after OHCA was 46 months, regularly retired after OHCA7 (22,5%); disability retirement after OHCA3 (9,6%) unemployed4 (12,9%) retired before OHCA10 (32,2%) incomplete data3 (9,6%)

Conclusion The results of Maribor EMS do not differ from the rest of Europe, according to ERC guideliness. We can see that a significant number of people can still be included in the working process after OHCA.