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Intensive Care Medicine

Published in:

01-04-2018 | Original

Organ support therapy in the intensive care unit and return to work: a nationwide, register-based cohort study

Authors: Signe Riddersholm, Steffen Christensen, Kristian Kragholm, Christian F. Christiansen, Bodil Steen Rasmussen

Published in: Intensive Care Medicine | Issue 4/2018

Abstract

Purpose

The association between severity of illness and ability to return to work is unclear. Therefore, we investigated return to work and associations with measures of illness severity in ICU survivors.

Methods

We conducted this cohort study using Danish registry data for the period 2005–2014 on ICU patients who were discharged alive from hospital, had an ICU length of stay (LOS) of at least 72 h, were not treated with dialysis before hospital admission and were working prior to admission. We assessed (1) the cumulative incidence (chance) of return to work (2005–2017) and receipt of social benefits after discharge from a hospital stay with ICU admission and (2) the association between organ support therapies (renal replacement therapy, cardiovascular support and mechanical ventilation), and during 2011–2014 SAPS II and ICU LOS, and return to work, using multivariable Cox regression.

Results

Among 5762 ICU survivors, 68% returned to work within 2 years after hospital discharge. Disability and sickness benefits constituted 89% of social benefits among patients not returning to work and 59% among patients withdrawing from work following an initial return to work. Mechanical ventilation (HR 0.70, 95% CI [0.65–0.77]), but not RRT (HR 0.85, 95% CI [0.71–1.02]), cardiovascular support (HR 0.93, 95% CI [0.82–1.07]) and increasing SAPS II, was associated with decreased chance of return to work. Increasing ICU LOS was also associated with a decreased chance of return to work.

Conclusions

The majority of a nationwide cohort of ICU survivors returned to work. Sick leave and receipt of disability pension were common following ICU admission. Mechanical ventilation and longer ICU LOS were associated with reduced chances of return to work.

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Title: Organ support therapy in the intensive care unit and return to work: a nationwide, register-based cohort study
Authors: Signe Riddersholm
Steffen Christensen
Kristian Kragholm
Christian F. Christiansen
Bodil Steen Rasmussen
Publication date: 01-04-2018
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 4/2018
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-018-5157-1

ACC 2024 Congress

Springer Medicine

Organ support therapy in the intensive care unit and return to work: a nationwide, register-based cohort study

Abstract

Purpose

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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