@article{oai:jrckicn.repo.nii.ac.jp:00000851,
 author = {UNOKI, Takeshi and 卯野木, 健 and KITAYAMA, Mio and 北山, 未央 and SAKURAMOTO, Hideaki and 櫻本, 秀明 and 大内, 玲 and OUCHI, Akira and 栗原, 知己 and KURIBARA, Tomoki and YAMAGUCHI, Takako and 山口, 貴子 and UEMURA, Sakura and 植村, 桜 and FUKUDA, Yuko and 福田, 侑子 and 春名, 純平 and HARUNA, Junpei and TSUJIMOTO, Takahiro and 辻本, 雄大 and HINO, Mayumi and 日野, 真弓 and SHIBA, Yuko and 柴, 優子 and NAGAO, Takumi and 長尾, 工 and 白坂, 雅子 and SHIRASAKA, Masako and SATOI, Yosuke and 里井, 陽介 and TOYOSHIMA, Miki and 豊島, 美樹 and 升田, 好樹 and MASUDA, Yoshiki},
 issue = {3},
 journal = {PLoS ONE, PLoS ONE},
 month = {},
 note = {isIdenticalTo:application/pdf, Background
Returning to work is a serious issue that affects patients who are discharged from the intensive care unit (ICU). This study aimed to clarify the employment status and the perceived household financial status of ICU patients 12 months following ICU discharge. Additionally, we evaluated whether there exists an association between depressive symptoms and subsequent unemployment status.

Methods
This study was a subgroup analysis of the published Survey of Multicenter Assessment with Postal questionnaire for Post-Intensive Care Syndrome for Home Living Patients (the SMAP-HoPe study) in Japan. Eligible patients were those who were employed before ICU admission, stayed in the ICU for at least three nights between October 2019 and July 2020, and lived at home for 12 months after discharge. We assessed the employment status, subjective cognitive functions, household financial status, Hospital Anxiety and Depression Scale, and EuroQOL-5 dimensions of physical function at 12 months following intensive care.

Results
This study included 328 patients, with a median age of 64 (interquartile range [IQR], 52–72) years. Of these, 79 (24%) were unemployed 12 months after ICU discharge. The number of patients who reported worsened financial status was significantly higher in the unemployed group (p<0.01) than in the employed group. Multivariable analysis showed that higher age (odds ratio [OR], 1.06; 95% confidence interval [CI], 1.03–1.08]) and greater severity of depressive symptoms (OR, 1.13 [95% CI, 1.05–1.23]) were independent factors for unemployment status at 12 months after ICU discharge.

Conclusions
We found that 24.1% of our patients who had been employed prior to ICU admission were subsequently unemployed following ICU discharge and that depressive symptoms were associated with unemployment status. The government and the local municipalities should provide medical and financial support to such patients. Additionally, community and workplace support for such patients are warranted.},
 title = {Employment status and its associated factors for patients 12 months after intensive care: Secondary analysis of the SMAP-HoPe study},
 volume = {17},
 year = {2022},
 yomi = {ウノキ, タケシ and キタヤマ, ミオ and サクラモト, ヒデアキ and オオウチ, アキラ and クリバラ, トモキ and ヤマグチ, タカコ and ウエムラ, サクラ and フクダ, ユウコ and ハルナ, ジュンペイ and ツジモト, タカヒロ and ヒノ, マユミ and シバ, ユウコ and ナガオ, タクミ and シラサカ, マサコ and サトイ, ヨウスケ and トヨシマ, ミキ and マスダ, ヨシキ}
}