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

Research output: Contribution to journalArticleResearchpeer-review

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

Cite this

@article{c215a8dac7dd474295f0c22a3f70e2ab,
title = "Predictors of return to work in survivors of critical illness",
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.",
keywords = "Disability, Intensive care, Long-term outcomes, Mechanical ventilation, Psychological outcomes, Return to work",
author = "Hodgson, {Carol L.} and Haines, {Kimberley J.} and Michael Bailey and Jonathan Barrett and Rinaldo Bellomo and Tracey Bucknall and Gabbe, {Belinda J.} and Higgins, {Alisa M.} and Iwashyna, {Theodore J.} and Julian Hunt-Smith and Murray, {Lynne J.} and Myles, {Paul S.} and Jennie Ponsford and David Pilcher and Udy, {Andrew A.} and Craig Walker and Meredith Young and {(Jamie) Cooper}, {D. J.} and {ICU-Recovery Investigators}",
year = "2018",
month = "12",
day = "1",
doi = "10.1016/j.jcrc.2018.08.005",
language = "English",
volume = "48",
pages = "21--25",
journal = "Journal of Critical Care",
issn = "0883-9441",
publisher = "Elsevier",

}

Predictors of return to work in survivors of critical illness. / 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.; ICU-Recovery Investigators.

In: Journal of Critical Care, Vol. 48, 01.12.2018, p. 21-25.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Predictors of return to work in survivors of critical illness

AU - Hodgson, Carol L.

AU - Haines, Kimberley J.

AU - Bailey, Michael

AU - Barrett, Jonathan

AU - Bellomo, Rinaldo

AU - Bucknall, Tracey

AU - Gabbe, Belinda J.

AU - Higgins, Alisa M.

AU - Iwashyna, Theodore J.

AU - Hunt-Smith, Julian

AU - Murray, Lynne J.

AU - Myles, Paul S.

AU - Ponsford, Jennie

AU - Pilcher, David

AU - Udy, Andrew A.

AU - Walker, Craig

AU - Young, Meredith

AU - (Jamie) Cooper, D. J.

AU - ICU-Recovery Investigators

PY - 2018/12/1

Y1 - 2018/12/1

N2 - 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.

AB - 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.

KW - Disability

KW - Intensive care

KW - Long-term outcomes

KW - Mechanical ventilation

KW - Psychological outcomes

KW - Return to work

UR - http://www.scopus.com/inward/record.url?scp=85051682964&partnerID=8YFLogxK

U2 - 10.1016/j.jcrc.2018.08.005

DO - 10.1016/j.jcrc.2018.08.005

M3 - Article

VL - 48

SP - 21

EP - 25

JO - Journal of Critical Care

JF - Journal of Critical Care

SN - 0883-9441

ER -