Return to work and lost earnings after acute respiratory distress syndrome: a 5-year prospective, longitudinal study of long-term survivors
Return to work and lost earnings after acute respiratory distress syndrome: a 5-year prospective, longitudinal study of long-term survivors
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DOI：
10.1136/thoraxjnl-2017-210217
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发表时间：
2018-02-01
期刊：
影响因子：
10
通讯作者：
Needham, Dale M.
中科院分区：
文献类型：
--
作者：
Kamdar, Biren B.;Sepulveda, Kristin A.;Needham, Dale M.
急性呼吸窘迫综合征（ARDS）后延迟恢复工作是常见的，但很少进行详细的评估。我们研究了与ARDS后恢复工作的时间相关的因素，沿着失去的收入和医疗coverage.Methods的变化，为期五年，多站点的前瞻性，纵向队列研究138 2年的ARDS幸存者在2004年和2007年之间住院。通过结构化访谈收集了就业和医疗保险。使用精细和灰色回归分析的预测恢复工作的时间进行了评估。估计使用劳工统计局data.Results六十七（49%）的138 2年的幸存者就业前ARDS的收入损失。在64名5年生存者中，20名（31%）在5年随访期间从未返回工作岗位。延迟恢复工作的预测因素（HR（95%CI））包括基线Charlson Comorbid指数（0.77（0.59 - 0.99）/点; p=0.04）、机械通气持续时间（0.67（0.55 - 0.82）/天，最多5天; p
Background Delayed return to work is common after acute respiratory distress syndrome (ARDS), but has undergone little detailed evaluation. We examined factors associated with the timing of return to work after ARDS, along with lost earnings and shifts in healthcare coverage.Methods Five-year, multisite prospective, longitudinal cohort study of 138 2-year ARDS survivors hospitalised between 2004 and 2007. Employment and healthcare coverage were collected via structured interview. Predictors of time to return to work were evaluated using Fine and Grey regression analysis. Lost earnings were estimated using Bureau of Labor Statistics data.Results Sixty-seven (49%) of the 138 2-year survivors were employed prior to ARDS. Among 64 5-year survivors, 20 (31%) never returned to work across 5-year follow-up. Predictors of delayed return to work (HR (95%CI)) included baseline Charlson Comorbidity Index (0.77 (0.59 to 0.99) per point; p=0.04), mechanical ventilation duration (0.67 (0.55 to 0.82) per day up to 5 days; p