Predictors of return to work in survivors of critical illness

Carol L. Hodgson, Kimberley J. Haines, Michael Bailey, Jonathan Barrett, Rinaldo Bellomo, Tracey Bucknall, Belinda J. Gabbe, Alisa M. Higgins, Theodore J. Iwashyna, Julian Hunt-Smith, Lynne J. Murray, Paul S. Myles, Jennie Ponsford, David Pilcher, Andrew A. Udy, Craig Walker, Meredith Young, D. J. (Jamie) Cooper, ICU-Recovery Investigators

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4 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)21-25
Number of pages5
JournalJournal of Critical Care
Volume48
DOIs
Publication statusPublished - 1 Dec 2018

Keywords

  • Disability
  • Intensive care
  • Long-term outcomes
  • Mechanical ventilation
  • Psychological outcomes
  • Return to work

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