Austin Health

Title
Predictors of return to work in survivors of critical illness.
Publication Date
2018-08-13
Author(s)
Hodgson, Carol L
Haines, Kimberley J
Bailey, Michael
Barrett, Jonathan
Bellomo, Rinaldo
Bucknall, Tracey
Gabbe, Belinda J
Higgins, Alisa M
Iwashyna, Theodore J
Hunt-Smith, Julian
Murray, Lynne J
Myles, Paul S
Ponsford, Jennie
Pilcher, David
Udy, Andrew A
Walker, Craig
Young, Meredith
Jamie Cooper, D J
Subject
Disability
Intensive care
Long-term outcomes
Mechanical ventilation
Psychological outcomes
Return to work
Type of document
Journal Article
OrcId
0000-0002-1650-8939
DOI
10.1016/j.jcrc.2018.08.005
Abstract
To determine predictors of inability to return to work due to health six-months after intensive care admission; and compare functional recovery between patients who had not returned to work and employed patients. Participants were working adults admitted to ICU who received >24 h of mechanical ventilation. Outcomes included inability to return to work due to health at six-months post-ICU admission, disability, health status, anxiety, depression and post-traumatic stress. Of 107 patients, 31 (29%) were unable to return to work due to health at six-months after ICU admission. Predictors of inability to return to work included longer hospital stay (odds ratio [OR], 1.05; 95% confidence interval [CI], 1.02-1.08; P = .004); lower Glasgow Coma Scale (GCS) at admission (OR, 0.86; CI, 0.75-0.99; P = .03); and admission due to major trauma (OR, 8.83; CI, 2.57-30.38; P < .001). Compared to employed patients, those who had not returned to work reported higher levels of disability and psychological distress, and poorer health-related quality of life. Major trauma, lower GCS and increased hospital length of stay predicted inability to return to work due to health at six-months post-ICU admission. Compared to employed patients, those who had not returned to work reported poorer functional recovery.
Link
Citation
Journal of Critical Care 2018; 48: 21-25
Jornal Title
Journal of Critical Care

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