Return to work after sepsis—a German population-based health claims study

Frontiers in Medicine

Medicine

Konrad Reinhart¹  Christiane S. Hartog²  Bianka Ditscheid³  Antje Freytag³  Carolin Fleischmann-Struzek⁴  Norman Rose⁴  Peter Schlattmann⁵  Lisa Wedekind⁵  Christian Günster⁶  Melissa Spoden⁶ 

[1] Department of Anesthesiology and Operative Intensive Care Medicine, Charité Universitätsmedizin Berlin, Berlin, Germany;Department of Anesthesiology and Operative Intensive Care Medicine, Charité Universitätsmedizin Berlin, Berlin, Germany;Klinik Bavaria, Kreischa, Germany;Institute of General Practice and Family Medicine, Jena University Hospital, Jena, Germany;Institute of Infectious Diseases and Infection Control, Jena University Hospital, Jena, Germany;Center for Sepsis Control and Care, Jena University Hospital/Friedrich Schiller University Jena, Jena, Germany;Institute of Medical Statistics, Computer and Data Sciences, Jena University Hospital, Jena, Germany;Research Institute of the Local Health Care Funds, Berlin, Germany;Federal Association of the Local Health Care Funds, Berlin, Germany;

关键词: sepsis;    return to work;    survivor;    septic shock;    post-sepsis-syndrome;   

DOI  :  10.3389/fmed.2023.1187809

 received in 2023-03-16, accepted in 2023-05-09,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundLong-term impairments after sepsis can impede the return to work in survivors. We aimed to describe rates of return to work 6 and 12 months postsepsis.MethodsThis retrospective, population-based cohort study was based on health claims data of the German AOK health insurance of 23.0 million beneficiaries. We included 12-months survivors after hospital-treated sepsis in 2013/2014, who were ≤60 years at the time of the admission and were working in the year presepsis. We assessed the prevalence of return to work (RTW), persistent inability to work and early retirement.ResultsAmong 7,370 working age sepsis survivors, 69.2% returned to work at 6 months postsepsis, while 22.8% were on sick leave and 8.0% retired early. At 12 months postsepsis, the RTW rate increased to 76.9%, whereas 9.8% were still on sick leave and 13.3% retired early. Survivors who returned to work had a mean of 70 (SD 93) sick leave days in the 12 months presepsis (median 28 days, IQR 108 days).ConclusionOne out of four working age sepsis survivors does not resume work in the year postsepsis. Specific rehabilitation and targeted aftercare may be opportunities to reduce barriers to RTW after sepsis.

【 授权许可】

Unknown   
Copyright © 2023 Fleischmann-Struzek, Ditscheid, Rose, Spoden, Wedekind, Schlattmann, Günster, Reinhart, Hartog and Freytag.