Factors associated with employment outcome after critical illness: Systematic review, meta‐analysis, and meta‐regression

Su, Han; Dreesmann, Nathan J.; Hough, Catherine L.; Bridges, Elizabeth; Thompson, Hilaire J.

doi:10.1111/jan.14631

Cited by 16 publications

(9 citation statements)

References 55 publications

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“…The median severity of depression score was significantly higher in those with physical dysfunction than in those without physical dysfunction (8 [6-10] vs. 4 [2][3][4][5][6][7], p<0.01, respectively).…”

Section: Relationships Between Severity Of Depression and Physical Dy...mentioning

confidence: 99%

“…National employment and disability policies could also contribute to the resumption of work productivity among those discharged from the ICU. Su et al [5] have revealed that the disability policies of each country were related to the resumption of work productivity. Thus, it is worth evaluating how those discharged from the ICU fare regarding employment in each country.…”

Section: Introductionmentioning

confidence: 99%

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Employment status and its associated factors for patients 12 months after intensive care: Secondary analysis of the SMAP-HoPe study

et al. 2022

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Background Returning to work is a serious issue that affects patients who are discharged from the intensive care unit (ICU). This study aimed to clarify the employment status and the perceived household financial status of ICU patients 12 months following ICU discharge. Additionally, we evaluated whether there exists an association between depressive symptoms and subsequent unemployment status. Methods This study was a subgroup analysis of the published Survey of Multicenter Assessment with Postal questionnaire for Post-Intensive Care Syndrome for Home Living Patients (the SMAP-HoPe study) in Japan. Eligible patients were those who were employed before ICU admission, stayed in the ICU for at least three nights between October 2019 and July 2020, and lived at home for 12 months after discharge. We assessed the employment status, subjective cognitive functions, household financial status, Hospital Anxiety and Depression Scale, and EuroQOL-5 dimensions of physical function at 12 months following intensive care. Results This study included 328 patients, with a median age of 64 (interquartile range [IQR], 52–72) years. Of these, 79 (24%) were unemployed 12 months after ICU discharge. The number of patients who reported worsened financial status was significantly higher in the unemployed group (p<0.01) than in the employed group. Multivariable analysis showed that higher age (odds ratio [OR], 1.06; 95% confidence interval [CI], 1.03–1.08]) and greater severity of depressive symptoms (OR, 1.13 [95% CI, 1.05–1.23]) were independent factors for unemployment status at 12 months after ICU discharge. Conclusions We found that 24.1% of our patients who had been employed prior to ICU admission were subsequently unemployed following ICU discharge and that depressive symptoms were associated with unemployment status. The government and the local municipalities should provide medical and financial support to such patients. Additionally, community and workplace support for such patients are warranted.

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Section: Relationships Between Severity Of Depression and Physical Dy...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Employment status and its associated factors for patients 12 months after intensive care: Secondary analysis of the SMAP-HoPe study

et al. 2022

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“…The copyright holder for this this version posted December 2, 2021. ; https://doi.org/10.1101/2021.12.01.21266910 doi: medRxiv preprint Third, disability policy in each country should influence the proportion of employees returning to work among patients discharged from intensive care. A recent systematic review and meta-analysis using meta-regression revealed that disability policies in each country positively impacted the ability of ICU-discharged patients to return to work [3]. From OECD (Organization for Economic Co-operation and Development) data, the integration index that was calculated from ten criteria such as employment programs and governmentprovided job training was higher in Japan than the median index of OECD.…”

Section: Multivariable Analysismentioning

confidence: 99%

“…National employment and disability policies could contribute to resumption of work productivity among those discharged from the ICU. Su et al [3] revealed that the disability policies of each country were related to resumption of work productivity. Thus, it is worth evaluating how those discharged from the ICU fare in terms of employment in each country.…”

Section: Introductionmentioning

confidence: 99%

Employment status and its associated factor for patients 12 months after intensive care: Secondary analysis of the SMAP-HoPe-study

Unoki

Kitayama

Sakuramoto

et al. 2021

Preprint

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Returning to work is a serious issue that affects patients who are being discharged from the intensive care unit (ICU). This study aimed to clarify the employment status and the perceived household financial status of ICU patients 12 months following discharge from the ICU. Additionally, a hypothesis of whether depressive symptoms were associated with subsequent unemployment status was tested. This study was a subgroup analysis using data from the published Survey of Multicenter Assessment with Postal questionnaire for Post-Intensive Care Syndrome (PICS) for Home Living Patients (the SMAP-HoPe study) in Japan. The patients included those who had a history of staying in the ICU for at least three nights and had been living at home for one year following discharge, between October 2019 and July 2020. We assessed employment status, subjective cognitive functions, household financial status, Hospital Anxiety and Depression Scale scores, and EuroQOL-5 dimensions of physical function at 12 months following intensive care. This study included 328 patients who were known to be employed prior to ICU admission. The median age was 64 (Interquartile Range [IQR] 52-72), and males were predominant (86%). Seventy-nine (24%) of those evaluated were unemployed. The number of patients who reported worsened financial status was significantly higher in the unemployed group. (p<.01) Multivariate analysis showed that higher age (Odds Ratio [OR]: 1.06, 95% Confidence Interval [CI]: 1.03-1.08]) and severity of depressive symptoms (OR: 1.13 [95% CI: 1.05-1.23]) were independent factors for employment status after 12 months from being discharged from the ICU. These factors were determined to be significant even after adjusting for sex, physical function, and cognitive function. We found that one-fourth of our patients who had been employed prior to ICU admission were subsequently unemployed 12 months following ICU discharge. Additionally, depressive symptoms were associated with unemployment status. The government and the local municipalities should provide medical and financial support to such patients. Additionally, community support for such patients is warranted.

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“…1 However, previously employed survivors of ARDS who required intensive care commonly experience joblessness over 5-year followup (36%-68%). [2][3][4] Hence, a greater understanding of occupational and patient factors associated with post-ARDS employment outcomes is urgently needed. Among ARDS survivors, existing patient and hospitalization factors associated with joblessness include older age, non-White race, chronic health conditions, prolonged mechanical ventilation, and longer ICU and hospital lengths of stay.…”

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confidence: 99%

Association of Job Characteristics and Functional Impairments on Return to Work After ARDS

Thompson

May

et al. 2021

Chest

Self Cite

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BACKGROUND: Joblessness is common after ARDS, but related risk factors are not fully understood.RESEARCH QUESTION: What is the association between survivors' pre-ARDS workload and post-ARDS functional impairment, pain, and fatigue with their return to work (RTW) status?STUDY DESIGN AND METHODS: The U.S. Occupational Information Network (O*NET) was used to determine pre-ARDS workload for participants in the ARDS Network Long-Term Outcomes Study (ALTOS). Post-ARDS functional impairment was assessed using the Mini-Mental State Examination and SF-36 Physical Functioning, Social Functioning, and Mental Health sub-scales, and categorized as either no impairments, only psychosocial impairment, physical with low psychosocial impairment, or physical with high psychosocial impairment. Post-ARDS pain and fatigue were assessed using the SF-36 pain item and Functional Assessment of Chronic Illness Therapy-Fatigue Scale fatigue scale, respectively. Generalized linear mixed modeling methods were used to evaluate associations among pre-ARDS workload, post-ARDS functional impairment, and symptoms of pain and fatigue with post-ARDS RTW.

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Factors associated with employment outcome after critical illness: Systematic review, meta‐analysis, and meta‐regression

Cited by 16 publications

References 55 publications

Employment status and its associated factors for patients 12 months after intensive care: Secondary analysis of the SMAP-HoPe study

Employment status and its associated factors for patients 12 months after intensive care: Secondary analysis of the SMAP-HoPe study

Employment status and its associated factor for patients 12 months after intensive care: Secondary analysis of the SMAP-HoPe-study

Association of Job Characteristics and Functional Impairments on Return to Work After ARDS

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