Profile of individuals who returned to work three years after discharge from the Intensive Care Unit
DOI:
https://doi.org/10.33448/rsd-v12i5.41684Keywords:
Intensive Care Units; Respiration Artificial; Patient Discharge; Return to work.Abstract
Objective: To describe the profile of individuals who returned to work three years after discharge from the intensive care unit and to determine the predictors of disability upon return to work. Methods: This is a retrospective, quantitative, cross-sectional study of individuals discharged from the intensive care unit (ICU) who had some work activity prior to hospitalization. Data were recorded in two stages: the first, from physiotherapeutic and medical records, and the second, an active search for patients through contact or address collected in the records. Fisher's exact test was applied to compare categorical data and Phi test was applied to measure the association between variables. Results: The profile of the returning subjects was young individuals (39 ± 17.2 years), who had high Glasgow Coma Scale scores (14 ± 2.2) during hospitalization, who mostly received medical diagnosis related to respiratory and digestive system impairments (28.6%), and who remained on average 7.4 ± 10 days on mechanical ventilation. Conclusion: It was concluded that return to work three years after ICU discharge occurred more frequently in individuals under 40 years of age, who had a satisfactory level of consciousness during hospitalization, and who remained for less time on mechanical ventilation. Moreover, the return to work occurred in individuals with different diagnoses, but those with respiratory and digestive impairments were more frequent.
References
Abedzadeh-Kalahroudi, M., Razi, E., Sehat, M., & Asadi-Lari, M. (2017). Return to work after trauma: A survival analysis. Chinese journal of traumatology, 20(02), 67-74.
Collie, A., Simpson, P. M., Cameron, P. A., Ameratunga, S., Ponsford, J., Lyons, R. A., ... & Gabbe, B. J. (2019). Patterns and predictors of return to work after major trauma: a prospective, population-based registry study. Annals of surgery, 269(5), 972-978.
Faria, L. M. (2013). Impacto do processo de internação em UTI na funcionalidade de pacientes adultos ventilados mecanicamente.
Faria, L. M. A., Queiroz, R. S., Araújo, T. M. O., Ferreira, G. S., Oliveira, A. A. (2021). Capacidade funcional de indivíduos após alta da unidade de terapia intensiva e fatores associados. Revista Saúde.Com, 17(2), 2138-2143.
Fontela, P. C., Abdala, F. A. N. B., Forgiarini, S. G. I., & Forgiarini Jr, L. A. (2018). Qualidade de vida de sobreviventes de um período de internação na unidade de terapia intensiva: uma revisão sistemática. Revista Brasileira de terapia intensiva, 30, 496-507.
Gabbe, B. J., Simpson, P. M., Harrison, J. E., Lyons, R. A., Ameratunga, S., Ponsford, J., ... & Cameron, P. A. (2016). Return to work and functional outcomes after major trauma. Annals of surgery, 263(4), 623-632.
Halpern, N. A., & Pastores, S. M. (2010). Critical care medicine in the United States 2000–2005: an analysis of bed numbers, occupancy rates, payer mix, and costs. Critical care medicine, 38(1), 65-71.
Hashem, M. D., Nallagangula, A., Nalamalapu, S., Nunna, K., Nausran, U., Robinson, K. A., ... & Eakin, M. N. (2016). Patient outcomes after critical illness: a systematic review of qualitative studies following hospital discharge. Critical Care, 20(1), 1-10.
Herridge, M. S., Tansey, C. M., Matté, A., Tomlinson, G., Diaz-Granados, N., Cooper, A., ... & Cheung, A. M. (2011). Functional disability 5 years after acute respiratory distress syndrome. New England Journal of Medicine, 364(14), 1293-1304.
Hodgson, C. L., Haines, K. J., Bailey, M., Barrett, J., Bellomo, R., Bucknall, T., ... & ICU-Recovery Investigators. (2018). Predictors of return to work in survivors of critical illness. Journal of critical care, 48, 21-25.
Jesus, F. S. D., Paim, D. D. M., Brito, J. D. O., Barros, I. D. A., Nogueira, T. B., Martinez, B. P., & Pires, T. Q. (2016). Mobility decline in patients hospitalized in an intensive care unit. Revista Brasileira de Terapia Intensiva, 28, 114-119.
Kamdar, B. B., Sepulveda, K. A., Chong, A., Lord, R. K., Dinglas, V. D., Mendez-Tellez, P. A., ... & Needham, D. M. (2018). Return to work and lost earnings after acute respiratory distress syndrome: a 5-year prospective, longitudinal study of long-term survivors. Thorax, 73(2), 125-133.
Kamdar, B. B., Suri, R., Suchyta, M. R., Digrande, K. F., Sherwood, K. D., Colantuoni, E., ... & Hopkins, R. O. (2020). Return to work after critical illness: a systematic review and meta-analysis. Thorax, 75(1), 17-27.
Mattioni, M. F., Dietrich, C., Sganzerla, D., Rosa, R. G., & Teixeira, C. (2022). Retorno ao trabalho após a alta da unidade de terapia intensiva: uma coorte multicêntrica brasileira. Revista Brasileira de Terapia Intensiva, 34, 492-498.
Moreira, R. C. M. (2012). Mobilização precoce de pacientes criticamente doentes: ensaio clínico aleatorizado.
Moura Jucá, R. V. B. (2019). Fatores determinantes para o retorno ao trabalho em indivíduos pós-acidente vascular encefálico residentes em Fortaleza.
Needham, D. M., Davidson, J., Cohen, H., Hopkins, R. O., Weinert, C., Wunsch, H., ... & Harvey, M. A. (2012). Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders' conference. Critical care medicine, 40(2), 502-509.
Norman, B. C., Jackson, J. C., Graves, J. A., Girard, T. D., Pandharipande, P. P., Brummel, N. E., ... & Ely, E. W. (2016). Employment outcomes after critical illness: an analysis of the BRAIN-ICU cohort. Critical care medicine, 44(11), 2003-2009.
Ohtake, P. J., Scott, J. C., Hinman, R. S., Lee, A. C., & Smith, J. M. (2017). Impairments, activity limitations and participation restrictions experienced in the first year following a critical illness: protocol for a systematic review. BMJ open, 7(1), e013847.
Pereira, A. S. (2018). Metodologia da pesquisa científica. Santa Maria, RS: UFSM.
Quasim, T., Brown, J., & Kinsella, J. (2015). Employment, social dependency and return to work after intensive care. Journal of the Intensive Care Society, 16(1), 31-36.
Van Der Jagt, M., & Kompanje, E. J. O. (2017). Prognosis of neurologic complications in critical illness. Handbook of clinical neurology, 141, 765-783.
Vesz, P. S., Costanzi, M., Stolnik, D., Dietrich, C., Freitas, K. L. C. D., Silva, L. A., ... & Teixeira, C. (2013). Aspectos funcionais e psicológicos imediatamente após alta da unidade de terapia intensiva: coorte prospectiva. Revista Brasileira de Terapia Intensiva, 25, 218-224.
Wunsch, H., Guerra, C., Barnato, A. E., Angus, D. C., Li, G., & Linde-Zwirble, W. T. (2010). Three-year outcomes for Medicare beneficiaries who survive intensive care. Jama, 303(9), 849-856.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Luciano Magno de Almeida Faria; Jhenifer Bispo Soares; Alinne Alves Oliveira
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
