Predictors of return to work in survivors of critical illness.

Hodgson CL, Haines KJ, Bailey M, Barrett J, Bellomo R, Bucknall T, Gabbe BJ, Higgins AM, Iwashyna TJ, Hunt-Smith J, Murray LJ, Myles PS, Ponsford J, Pilcher D, Udy AA, Walker C, Young M, Jamie Cooper DJ, ICU-Recovery Investigators. Predictors of return to work in survivors of critical illness. Journal of Critical Care. 2018 Dec 1; 48:21-25.

Related HSR&D Project(s)

• IIR 13-079 – REcovery after in hoSpital Cardiac arrest: late outcomes and Utilization_ResCU

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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.