在接受重症监护后,COVID-19患者返回工作的患病率:系统审查和元分析
Takeshi Unoki1, Hideaki Sakuramoto2, Akira Ouchi3
1Department of Acute and Critical Care Nursing, School of Nursing, Sapporo City University, Sapporo, JPN.
Cureus
|November 2, 2023
概括
许多患有2019年新冠肺炎 (COVID-19) 的重症监护室 (ICU) 幸存者努力恢复工作. 一项元分析发现,重返工作率在ICU出院后的12个月内增加,但三分之一的人仍然无法工作.
科学领域:
- 关键护理医学 关键护理医学
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
背景情况:
- 对于许多患者来说,重症监护后重返工作是非常具有挑战性的.
- 需要重症监护室 (ICU) 的冠状病毒病2019 (COVID-19) 幸存者面临着独特的返回工作的挑战.
- 有限的数据存在于重症COVID-19患者返回工作的患病率.
研究的目的:
- 系统地审查和元分析COVID-19患者在ICU出院后返回工作的患病率.
- 量化 ICU 后不同时间点的返回工作率.
- 确定对这一患者群体进行进一步研究和支持的需要.
主要方法:
- 观察性研究和RCT的系统审查和元分析.
- 搜索了MEDLINE,CINAHL和ICTRP数据库,截至2023年6月.
- 数据提取和质量评估使用乔安娜·布里格斯研究所 (JBI) 流行研究的批判性评估检查清单.
主要成果:
- 聚合返回工作的流行率:49%在0-3个月,57%在4-6个月,64%在7-12个月.
- 包括2221个初始记录中的20项研究.
- 总的来说,研究质量很低,具有显著的异质性 (所有时期的I2>80%).
结论:
- 随着时间的推移,COVID-19重症监护室幸存者的返回工作率有所改善,但仍然不理想.
- 大约三分之一的这些患者在12个月内无法恢复工作.
- 建议进一步进行高质量的队列研究和综合性就业支持.
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