败血症住院前后的劳动力市场依恋:一项丹麦队列研究
Camilla Schade Skov1,2, Mikkel Brabrand3,4, Christian Backer Mogensen5,6
1Department of Emergency Medicine, Odense University Hospital, Odense, Denmark. Camilla.schade.hansen@rsyd.dk.
Critical care (London, England)
|May 19, 2025
概括
大多数工作年龄的败血症幸存者在一年内返回工作位,而先前的就业是最强的预测因素. 进入重症监护室 (ICU) 有负面影响于重症监护人员恢复工作 (RTW),而教育水平并不影响RTW的结果.
科学领域:
- 临界护理医学 临界护理医学
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
背景情况:
- 败血症幸存者经常面临长期的认知,生理和功能缺陷,影响他们恢复工作的能力.
- 了解劳动力重新整合对于支持败血症幸存者的康复和经济福祉至关重要.
研究的目的:
- 描述工作年龄的败血症患者的劳动力依恋变化.
- 分析一般病房与重症监护室 (ICU) 治疗对恢复工作 (RTW) 的影响.
- 评估教育水平的影响,并确定与RTW相关的因素.
主要方法:
- 这是一项基于社区获得的20-63岁的败血症患者的基于登记的队列研究.
- 使用区域图表分析劳动力市场依附情况,按治疗环境 (一般病房与ICU) 和教育水平分层.
- 估计12,52,104和156周的RTW率,并使用因果特异性危险识别相关因素.
主要成果:
- 在1610名败血症患者中,651名 (40.4%) 在劳动力中,488名 (30.3%) 正在积极工作.
- 在12周,RTW率达到69.0%,在156周增加到90.4%.
- 与RTW相关的因素包括年龄较小,没有ICU入院,乳酸水平<4 mmol/L,以及单个器官衰竭. 之前的劳动力参与是最强的预测因素.
结论:
- 大多数工作年龄的败血症患者最初在劳动力之外,但大多数最终会返回.
- 没有ICU入院显著改善RTW结果.
- 教育水平会影响初始劳动力参与,但不会影响那些在工作的人群中出现RTW的可能性.
相关概念视频
01:30Pneumonia I: Introduction
201
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
201
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
3.9K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
3.9K
01:20Attachment
50
Attachment is vital for infant development, as warm social interactions support growth and well-being. In a classic 1958 study by Harry Harlow, the significance of warmth and comfort in forming attachments was examined. Harlow separated newborn monkeys from their mothers and provided two artificial "mothers": one made of cold wire and the other covered in soft cloth. Despite the wire mother offering food, the infant monkeys preferred the comfort of the cloth mother, demonstrating that...
50
01:29Appendicitis-II: Diagnostic Studies and Management
54
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
54
01:22Healthcare Associated Infections II: Preventive Measures
2.3K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.3K
01:26Stages of Infection
54.6K
Stages of infection describe what happens to a susceptible host once a pathogen invades the human body. The stages of infection are incubation, prodromal, illness, stage of decline, and convalescence. The incubation stage is the period from exposure to a pathogen until symptoms start. The infected person is unaware of impending illness as the pathogens grow and multiply within the body. The duration may vary depending on the type of infection. The incubation period of measles averages ten to...
54.6K