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

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...

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Bibliographic Details
Published in:PloS one 2022-03, Vol.17 (3), p.e0263441-e0263441
Main Authors: Unoki, Takeshi, Kitayama, Mio, Sakuramoto, Hideaki, Ouchi, Akira, Kuribara, Tomoki, Yamaguchi, Takako, Uemura, Sakura, Fukuda, Yuko, Haruna, Junpei, Tsujimoto, Takahiro, Hino, Mayumi, Shiba, Yuko, Nagao, Takumi, Shirasaka, Masako, Satoi, Yosuke, Toyoshima, Miki, Masuda, Yoshiki
Format: Article
Language:English
Subjects:
Aged
Bias
Cognitive ability
Confidence intervals
Coronaviruses
COVID-19
Critical care
Critical Care - psychology
Economic aspects
Employment
Evaluation
Family income
Health aspects
Hospital patients
Hospitals
Households
Humans
Infant
Intensive care
Intensive Care Units
Medicine and Health Sciences
Mental depression
Middle Aged
Municipalities
Nursing schools
Patient Discharge
Patients
Quality of Life
Questionnaires
Response rates
Secondary analysis
Social Sciences
Subgroups
Systematic review
Unemployment
Workplace accommodation
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Summary: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. 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. 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
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0263441