Rehabilitation for Survivors of Out-of-hospital Cardiac Arrest
Cardiac Arrest, Heart Arrest, Cardiopulmonary Resuscitation
About this trial
This is an interventional treatment trial for Cardiac Arrest focused on measuring Labour marked, Cardiac arrest, Heart Arrest, Cardiopulmonary Resuscitation, Return to work, Return-to-work, Back to Work, Rehabilitation, Recovery of Function, Cardiac Rehabilitation
Eligibility Criteria
Inclusion criteria:
- ≥18 years of age
- part of the labor force at the day of enrolling the trial
- at least two years until qualified to receive retirement state pensions
- can understand and fulfil the study survey (in Danish).
Exclusion criteria:
- severe cognitive impairment following the cardiac arrest (i.e. can't be discharged to own home, but require longer (neuro)rehabilitation at higher specialized center),
- a medical diagnose of dementia, Alzheimer's disease, stroke, or acquired brain injury
- severe drug abuse (judged by treating physician)
- severe alcohol abuse (>40 units/week).
Sites / Locations
- RigshospitaletRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Individually tailored rehabilitation intervention + usual care
Usual care
A comprehensive neurocognitive assessment and a thorough individual assessment of rehabilitation needs will be conducted to inform the individually tailored intervention plan. Core intervention elements are: 1) comprehensive assessment of individual rehabilitation needs including neuropsychology tests in order to make a individually tailored intervention plan coordinated with the multidisciplinary rehabilitation team, 2) providing strategies to lessen impact for the individual cognitive impairment, 3) educating survivors and relatives about the impact of a cardiac arrest and consequences on daily life, 4) work preparation, including establishment of routines and opportunities to practice work skills and 5) collaboration with the local municipality's job centre and employers to plan, support and monitor graded RTW, 6) short term therapy by psychologist dealing with thoughts and behaviour in relation to cardiac arrest.
All participants including those allocated to the usual care group will be seen by an occupational therapist if their MoCA screening score ≤26. Furthermore, if considered relevant by the discharging unit, survivors are referred for rehabilitation provided and delivered in the local municipality where the participant is resident. The content of the rehabilitation will typically be based on the content of the rehabilitation plan from the discharging hospital unit and an individual assessment of the survivors' expressed needs, within the local municipality where the participant is resident.