Interrelationships among workload, illness severity, and function on return to work following acute respiratory distress syndrome.
Interrelationships among workload, illness severity, and function on return to work following acute respiratory distress syndrome.
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DOI：
10.1016/j.aucc.2022.01.002
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发表时间：
2023-03
影响因子：
3.3
通讯作者：
Hopkins, Ramona O.
中科院分区：
文献类型：
--
作者：
Su, Han;Thompson, Hilaire J.;Pike, Kenneth;Kamdar, Biren B.;Bridges, Elizabeth;Hosey, Megan M.;Hough, Catherine L.;Needham, Dale M.;Hopkins, Ramona O.
急性呼吸窘迫综合征（ARDS）后无法返回工作岗位（RTW）是常见的。本研究的目的是探讨ARDS前的工作量，病情严重程度，和后的认知，心理，人际关系和身体功能与RTW在6个月和12个月后的ARDS之间的相互关系。我们使用美国多中心ARDS网络长期结局研究进行了二次分析。美国职业信息网络被用来确定前ARDS工作量。采用简明精神状态量表和SF-36量表测量ARDS后患者的4个功能领域。分析使用结构方程建模和中介分析。在329名曾就业的ARDS幸存者中，6个月和12个月的RTW率分别为52%和56%。疾病严重程度（标准化系数范围：-0.51至-0.54，p < 0.001）对6个月时的RTW有负面影响，而6个月时的功能（心理[0.42，p <0.001]，人际[0.40，p < 0.001]和身体[0.43，p < 0.001]）有正面影响。工作6个月（0.79至0.72，P < 0.001）对12个月时的RTW有积极影响，而疾病严重程度（-0.32至-0.33，p = 0.001）和ARDS后功能（心理[6个月：0.44，p < 0.001; 12个月：0.33，p = 0.002]，人际关系[0.44，p < 0.001; 0.22，p = 0.03]和身体能力[0.47，p < 0.001; 0.33，p = 0.007]）仅通过6个月时的工作对12个月时的RTW产生间接影响。12个月时的RTW与患者的病情严重程度、ARDS后的认知、心理、人际和身体功能以及6个月时的工作情况有关。在这些因素中，6个月的工作和功能可能是ARDS后12个月RTW的可变介质。改善ARDS幸存者的RTW可能包括RTW后工作量的优化，沿着医疗保健范围内的干预措施，以改善患者的身体、心理和人际功能。
Inability to return to work (RTW) is common after acute respiratory distress syndrome (ARDS). The aim of this study is to examine interrelationships among pre-ARDS workload, illness severity, and post-ARDS cognitive, psychological, interpersonal, and physical function with RTW at 6 and 12 months after ARDS. We conducted a secondary analysis using the US multicentre ARDS Network Long-Term Outcomes Study. The US Occupational Information Network was used to determine pre-ARDS workload. The Mini-Mental State Examination and SF-36 were used to measure four domains of post-ARDS function. Analyses used structural equation modeling and mediation analyses. Among 329 previously employed ARDS survivors, 6- and 12-month RTW rates were 52% and 56%, respectively. Illness severity (standardised coefficients range: −0.51 to −0.54, p < 0.001) had a negative effect on RTW at 6 months, whereas function at 6 months (psychological [0.42, p < 0.001], interpersonal [0.40, p < 0.001], and physical [0.43, p < 0.001]) had a positive effect. Working at 6 months (0.79 to 0.72, P < 0.001) had a positive effect on RTW at 12 months, whereas illness severity (−0.32 to −0.33, p = 0.001) and post-ARDS function (psychological [6 months: 0.44, p < 0.001; 12 months: 0.33, p = 0.002], interpersonal [0.44, p < 0.001; 0.22, p = 0.03], and physical abilities [0.47, p < 0.001; 0.33, p = 0.007]) only had an indirect effect on RTW at 12 months mediated through work at 6 months. RTW at 12 months was associated with patients' illness severity; post-ARDS cognitive, psychological, interpersonal, and physical function; and working at 6 months. Among these factors, working at 6 months and function may be modifiable mediators of 12-month post-ARDS RTW. Improving ARDS survivors' RTW may include optimisation of workload after RTW, along with interventions across the healthcare spectrum to improve patients’ physical, psychological, and interpersonal function.
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DOI：
10.1044/2015_jslhr-l-15-0025
发表时间：
2016-06-01
影响因子：
2.6
作者：
Douglas, Jacinta M.;Bracy, Christine A.;Snow, Pamela C.
通讯作者：
Snow, Pamela C.
影响因子：
10
作者：
Kamdar, Biren B.;Sepulveda, Kristin A.;Needham, Dale M.
通讯作者：
Needham, Dale M.
DOI：
10.1164/rccm.201304-0651oc
发表时间：
2013-09-01
影响因子：
24.7
作者：
Needham, Dale M.;Dinglas, Victor D.;Hopkins, Ramona O.
通讯作者：
Hopkins, Ramona O.
影响因子：
10
作者：
Chan KS;Aronson Friedman L;Dinglas VD;Hough CL;Shanholtz C;Ely EW;Morris PE;Mendez-Tellez PA;Jackson JC;Hopkins RO;Needham DM
通讯作者：
Needham DM
DOI：
10.1136/bmj.f1532
发表时间：
2013-03-19
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Needham DM;Dinglas VD;Bienvenu OJ;Colantuoni E;Wozniak AW;Rice TW;Hopkins RO;NIH NHLBI ARDS Network
通讯作者：
NIH NHLBI ARDS Network