Carol L Hodgson1, Kimberley J Haines2, Michael Bailey3, Jonathan Barrett4, Rinaldo Bellomo5, Tracey Bucknall6, Belinda J Gabbe7, Alisa M Higgins3, Theodore J Iwashyna8, Julian Hunt-Smith9, Lynne J Murray3, Paul S Myles10, Jennie Ponsford11, David Pilcher12, Andrew A Udy12, Craig Walker13, Meredith Young12, D J Jamie Cooper14. 1. Australian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia; The Alfred Hospital, PO Box 315, Prahran, VIC 3181, Australia; Monash Partners Advanced Health Research and Translation Centre, Locked Bag 29, Clayton, VIC 3168, Australia. Electronic address: carol.hodgson@monash.edu. 2. Australian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia; Western Health, PO Box 294, St Albans, VIC 3021, Australia. 3. Australian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia. 4. Monash Partners Advanced Health Research and Translation Centre, Locked Bag 29, Clayton, VIC 3168, Australia; Epworth Health, 89 Bridge Road, Richmond, VIC 3121, Australia. 5. Australian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia; Austin Health, PO Box 5555, Heidelberg, VIC 3084, Australia. 6. The Alfred Hospital, PO Box 315, Prahran, VIC 3181, Australia; Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia. 7. Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia; Farr Institute, Swansea University Medical School, Swansea University, UK. 8. Australian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia; University of Michigan, MI, USA. 9. Epworth Health, 89 Bridge Road, Richmond, VIC 3121, Australia. 10. The Alfred Hospital, PO Box 315, Prahran, VIC 3181, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia; Monash Partners Advanced Health Research and Translation Centre, Locked Bag 29, Clayton, VIC 3168, Australia. 11. Monash Partners Advanced Health Research and Translation Centre, Locked Bag 29, Clayton, VIC 3168, Australia. 12. Australian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia; The Alfred Hospital, PO Box 315, Prahran, VIC 3181, Australia. 13. Monash Medical Centre, 246 Clayton Road, Clayton, VIC 3168, Australia. 14. Australian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia; The Alfred Hospital, PO Box 315, Prahran, VIC 3181, Australia; Monash Partners Advanced Health Research and Translation Centre, Locked Bag 29, Clayton, VIC 3168, Australia.
Abstract
PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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.
PURPOSE: 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. METHODS: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. RESULTS: 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. CONCLUSION: 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.
Authors: Han Su; Hilaire J Thompson; Susanne May; Victor D Dinglas; Catherine L Hough; Megan M Hosey; Ramona O Hopkins; Biren B Kamdar; Dale M Needham Journal: Chest Date: 2021-03-14 Impact factor: 10.262
Authors: Leonie de Munter; A J L M Geraerds; Mariska A C de Jongh; Marjolein van der Vlegel; Ewout W Steyerberg; Juanita A Haagsma; Suzanne Polinder Journal: PLoS One Date: 2020-03-25 Impact factor: 3.240
Authors: Erin F Carlton; John P Donnelly; Hallie C Prescott; Lisa A Asaro; Ryan P Barbaro; R Scott Watson; Martha A Q Curley Journal: JAMA Netw Open Date: 2021-12-01