Return to Work After Coronavirus Disease 2019 Acute Respiratory Distress Syndrome and Intensive Care Admission: Prospective, Case Series at 6 Months From Hospital Discharge.
Age Factors
Aged
COVID-19
/ epidemiology
Comorbidity
Critical Care
/ statistics & numerical data
Female
Frailty
/ epidemiology
Humans
Length of Stay
Male
Middle Aged
Patient Discharge
/ statistics & numerical data
Quality of Life
Respiratory Distress Syndrome
/ epidemiology
Retirement
/ statistics & numerical data
Return to Work
/ statistics & numerical data
SARS-CoV-2
Severity of Illness Index
Sex Factors
Socioeconomic Factors
Unemployment
/ statistics & numerical data
Journal
Critical care medicine
ISSN: 1530-0293
Titre abrégé: Crit Care Med
Pays: United States
ID NLM: 0355501
Informations de publication
Date de publication:
01 11 2021
01 11 2021
Historique:
pubmed:
29
5
2021
medline:
27
10
2021
entrez:
28
5
2021
Statut:
ppublish
Résumé
Joblessness is common in survivors from critical care. Our aim was to describe rates of return to work versus unemployment following coronavirus disease 2019 acute respiratory distress syndrome requiring intensive care admission. Single-center, prospective case series. Critical Care Follow-Up Clinic, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy. One hundred and one consecutive laboratory-confirmed coronavirus disease 2019 patients were discharged from our hospital following an ICU stay between March 1, 2020, and June 30, 2020. Twenty-five died in the ICU. Seventy-six were discharged alive from hospital. Two patients refused participation, while three were unreachable. The remaining 71 were alive at 6 months and interviewed. Baseline and outcome healthcare data were extracted from the electronic patient records. Employment data were collected using a previously published structured interview instrument that included current and previous employment status, hours worked per week, and timing of return to work. Health-related quality of life status was assessed using the Italian EQ-5D-5L questionnaire. Of the 71 interviewed patients, 45 (63%) were employed prior to coronavirus disease 2019, of which 40 (89%) of them worked full-time. Thirty-three (73%) of the previously employed survivors had returned to work by 6 months, 10 (22%) were unemployed, and 2 (5%) were newly retired. Among those who returned to work, 20 (85%) of them reported reduced effectiveness at work. Those who did not return to work were either still on sick leave or lost their job as a consequence of coronavirus disease 2019. Reported quality of life of survivors not returning to work was worse than of those returning to work. The majority of coronavirus disease 2019 survivors following ICU in our cohort had returned to work by 6 months of follow-up. However, most of them reported reduced work effectiveness. Prolonged sick leave and unemployment were common findings in those not returning.
Identifiants
pubmed: 34048368
doi: 10.1097/CCM.0000000000005096
pii: 00003246-202111000-00024
pmc: PMC8507591
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1157-e1162Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2021 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
Déclaration de conflit d'intérêts
The authors have disclosed that they do not have any potential conflicts of interest.
Références
Coopersmith CM, Wunsch H, Fink MP, et al. A comparison of critical care research funding and the financial burden of critical illness in the United States. Crit Care Med. 2012; 40:1072–1079
Needham DM, Kamdar BB, Stevenson JE. Rehabilitation of mind and body after intensive care unit discharge: A step closer to recovery. Crit Care Med. 2012; 40:1340–1341
Apfelbacher C, Brandstetter S, Blecha S, et al.; DACAPO study group. Influence of quality of intensive care on quality of life/return to work in survivors of the acute respiratory distress syndrome: Prospective observational patient cohort study (DACAPO). BMC Public Health. 2020; 20:861
Kamdar BB, Suri R, Suchyta MR, et al. Return to work after critical illness: A systematic review and meta-analysis. Thorax. 2020; 75:17–27
Dinglas VD, Chessare CM, Davis WE, et al. Perspectives of survivors, families and researchers on key outcomes for research in acute respiratory failure. Thorax. 2018; 73:7–12
Kamdar BB, Huang M, Dinglas VD, et al.; National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Network. Joblessness and lost earnings after acute respiratory distress syndrome in a 1-year national multicenter study. Am J Respir Crit Care Med. 2017; 196:1012–1020
Kamdar BB, Sepulveda KA, Chong A, et al. Return to work and lost earnings after acute respiratory distress syndrome: A 5-year prospective, longitudinal study of long-term survivors. Thorax. 2018; 73:125–133
Norman BC, Jackson JC, Graves JA, et al. Employment outcomes after critical illness: An analysis of the bringing to light the risk factors and incidence of neuropsychological dysfunction in ICU survivors cohort. Crit Care Med. 2016; 44:2003–2009
McCue C, Cowan R, Quasim T, et al. Long term outcomes of critically ill COVID-19 pneumonia patients: Early learning. Intensive Care Med. 2021; 47:240–241
Bein T, Weber-Carstens S, Apfelbacher C. Long-term outcome after the acute respiratory distress syndrome: Different from general critical illness? Curr Opin Crit Care. 2018; 24:35–40
Carfì A, Bernabei R, Landi F; Gemelli Against COVID-19 Post-Acute Care Study Group. Persistent symptoms in patients after acute COVID-19. JAMA. 2020; 324:603–605
Kemp HI, Corner E, Colvin LA. Chronic pain after COVID-19: Implications for rehabilitation. Br J Anaesth. 2020; 125:436–440
Janiri D, Carfì A, Kotzalidis GD, et al.; Gemelli Against COVID-19 Post-Acute Care Study Group. Posttraumatic stress disorder in patients after severe COVID-19 infection. JAMA Psychiatry. 2021; 78:567–569
Franche RL, Cullen K, Clarke J, et al.; Institute for Work & Health (IWH) Workplace-Based RTW Intervention Literature Review Research Team. Workplace-based return-to-work interventions: A systematic review of the quantitative literature. J Occup Rehabil. 2005; 15:607–631
Connolly B, Salisbury L, O’Neill B, et al. Exercise rehabilitation following intensive care unit discharge for recovery from critical illness. Cochrane Database Syst Rev. 2015; 2015:CD008632
Kuoppala J, Lamminpää A. Rehabilitation and work ability: A systematic literature review. J Rehabil Med. 2008; 40:796–804
Guan WJ, Liang WH, Zhao Y, et al. Comorbidity and its impact on 1590 patients with COVID-19 in China: A nationwide analysis. Eur Respir J. 2020; 55:2000547
Tong A, Baumgart A, Evangelidis N, et al. Core outcome measures for trials in people with coronavirus disease 2019: Respiratory failure, multiorgan failure, shortness of breath, and recovery. Crit Care Med. 2021; 49:503–516