ICU survivors commonly experience job loss after critical illness, study confirms
Published - 12/01/19 - 12:14 PM | 2217 views | 3 3 comments | 54 54 recommendations | email to a friend | print
In recent years, national attention has been drawn to the plight of patients who have experienced the unintended side effects of prolonged ICU care, such as memory loss, muscle weakness and depression. Now, in the largest review to date, a research team led by University of California San Diego School of Medicine have evaluated the short- and long-term employment impacts to ICU patients, with concerning findings. Results of the study published in the November online edition of Thorax. “We already know that more than 50 percent of patients surviving critical illness experience impairments in cognitive, physical, and/or mental health after ICU stays. We now can add delayed return-to-work and joblessness to the potential adverse outcomes,” said first author Biren Kamdar, MD, assistant professor of medicine, UC San Diego School of Medicine. “The good news is that awareness of these consequences is growing, with adoptable approaches to addressing them.” Kamdar and a team of researchers from UCLA, UCSF, Johns Hopkins University, Intermountain Medical Center and Brigham Young University performed a systematic review and meta-analysis of more than 10,000 previously employed ICU patients to evaluate return-to-work following critical illness. Fifty-two studies were evaluated from sources including PubMed, Embase, PsycINFO, CINAHL, and Cochrane Library. “We found that two-thirds, two-fifths, and one-third of previously employed ICU survivors are jobless 3, 12 and 60 months following hospital discharge,” said Kamdar. “Impacts ranged from unplanned job changes to complete job loss to early retirement. Survivors frequently required ongoing disability benefits with rates of 20 to 27 percent at one year, and 59 to 89 percent at 76 months.” Jobless survivors were likely to transition from private to government-provided health care coverage. And, despite return to work, the majority of survivors incurred substantial lost earnings, totaling up to two-thirds of pre-ICU annual income. Joblessness and delayed return to work, along with cognitive impairments and post-traumatic stress, are among the various problems making up “post intensive care syndrome” or PICS, a constellation of disabling and long-lasting impairments commonly affecting survivors of critical illness. Risk factors for PICS may include sepsis and respiratory failure, which are inherent to critical illness, and delirium and immobility, potentially modifiable conditions in the ICU. “Survival is not enough. We are seeing that many patients get discharged from the ICU and then experience disabilities that significantly affect their quality of life,” said Kamdar. “We need to shift the paradigm of care in the ICU to include early and effective interventions aimed at helping patients get back to a normal life, including returning to work.” The systematic review included studies involving outpatient ICU recovery programs aimed at helping patients understand and manage their impairments. Kamdar pointed out that clinical investigations are needed to design, evaluate and optimize vocational rehabilitation programs aimed at helping survivors return to work. A starting point could involve identifying patients’ occupation and anticipating possible post-ICU impairments that could impact their ability to return to work. “Designing and evaluating novel ICU-based interventions is necessary to give patients a chance of having better long-term outcomes,” said Kamdar. “In coordination with employers, patients may be able to return to their chosen vocations.” Kamdar noted that initiatives such as THRIVE, launched by the Society of Critical Care Medicine, may help ICU survivors and their families cope with PICS. Kamdar also highlighted the outpatient ICU recovery clinic at UC San Diego Health. Support for this research came from the Paul B. Beeson Career Development Award through the National Institutes of Health/National Institute on Aging (K76AG059936) and the National Institutes of Health/National Heart Blood and Lung Institute (R24HL111985). Co-authors of this paper include: Rajat Suri from UCLA; Mary Suchyta from Intermountain Healthcare; Kyle Digrande from UC San Diego; Kyla Sherwood from UCSF; Elizabeth Colantuoni, Victor Dinglas and Dale Needham from Johns Hopkins University; and Ramona Hopkins from Brigham Young University. Full study:
Comments-icon Post a Comment
Rachael Mildred
December 03, 2019

I got my ex husband back to me and also got fertile and gave birth to twins girls after 12 years of marriage.

When I came online last year, I met a testimony about Doctor ODUNGA how he has been helping people with marriage issues and I decided to contact him. We spoke on email at and later he gave me his Whats App number which is 2348167159012. He assured me he would help me get my ex husband back after 3 years of no contact. Doctor Odunga is the best spell caster I must say. My husband called me after 24 hours of contact. The third day, I received natural herbs for fertility and after using it, I became fertile and conceived. I and my husband reconnected, had sex and I was pregnant. Presently I am happy to say I am the mother of twins girls and this is ALL THANKS TO DOCTOR ODUNGA. I came online to say this If you need help, I believe you are saved with this man. Contact his email at OR Whats App/Call 2348167159012 and you too will give a testimony too to help others
Sara Bryan
December 03, 2019
Am really happy that i and my husband are cured of (HERPES SIMPLEX VIRUS) with the herbal medicine of Dr JOE , i have been suffering from this disease for the past 1 years without solution until i came across his email /cure home of this doctor who have cure so many people with his herbal medicine, i also choose to give him a chance to help me and my husband, he told me what to do and i kindly did it, and he gave us his herbal medicine and direct me on how to use it, i also follows his instruction for use and he ask us to go for a check up after 2 weeks and which i did, to my greatest surprise our result came out as negative, we are really happy that there is someone like this Dr JOE who is ready to help anytime any day. to all the readers and viewers that is doubting this testimony stop doubting it and contact this Dr and see if he will not actually help you. i am not a stupid woman that i will come out to the public and start saying what someone have not done for me .contact him now if you are also in need of help via email or whatsaap number 2348155730398 may bless you sir for all your good works. contct dr JOE  for your following diseases below HIV/AIDS DIABETES HPV PENIS ENLARGEMENT  COLD SORE EBV
Stella Anderson
December 01, 2019
Cure d'herpès avec le docteur Ahmed Usman

Auparavant victime du virus de l'herpès avec de nombreuses épidémies sur mon corps, le docteur Ahmed Usman m'a guéri du virus grâce à son médicament à base de plantes. J'ai trouvé la plupart des témoignages de ses patients sur des blogs et des pages de médias sociaux, guéris de différentes maladies. Je l'ai contacté avec son adresse e-mail à laquelle il a répondu et m'a posé quelques questions et méthode de préparation pour laquelle j'ai payé, il m'a envoyé le médicament à base de plantes et avec sa prescription, j'ai bu le médicament à base de plantes pendant 21 jours et les épidémies sur mon corps étaient guéri après la conclusion du médicament à base de plantes, je suis passé à l'examen et mon résultat était négatif, sans trace de virus sur mon sang. Vous aussi, vous pouvez être guéri, contactez-le sur son email officiel;

Il a guéri à base de plantes pour, diabète, cancer, VIH, fibroïde, articulations douloureuses, hépatite, maladie cardiaque et maladie du foie.
Comments are back! Simply post the comment (it'll complain about you failing the human test) then simply click on the captcha and then click "Post Comment" again. Comments are also welcome on our Facebook page.