Evidence map›Paper›PMID 37968648›Full record

ArticleCritical care (London, England)2023

Return to work after hospitalization for sepsis: a nationwide, registry-based cohort study.

Nina Vibeche Skei, Karoline Moe, Tom Ivar Lund Nilsen, Lene Aasdahl, Hallie C Prescott, Jan Kristian Damås, Lise Tuset Gustad

Abstract read
In one paragraph

Article in Critical care (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Observational
  4. Observational
  5. Review
  6. Article
  7. Observational
  8. Review
  9. Article
  10. Observational
  11. Article
  12. SepsisJournal of medical microbiology · 2025
    Review
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nina Vibeche SkeiDepartment of Intensive Care and Anesthesia, Nord-Trondelag Hospital Trust, Levanger, Norway. nina.v.skei@ntnu.no.ORCID 0000-0002-6931-007X
Karoline MoeDepartment of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Tom Ivar Lund NilsenDepartment of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.ORCID 0000-0001-8251-3544
Lene AasdahlDepartment of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.ORCID 0000-0003-4276-1345
Hallie C PrescottDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-8442-6724
Jan Kristian DamåsThe Mid-Norway Centre for Sepsis Research, Institute of Circulation and Medical Imaging, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.ORCID 0000-0003-4268-671X
Lise Tuset GustadThe Mid-Norway Centre for Sepsis Research, Institute of Circulation and Medical Imaging, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.ORCID 0000-0003-2709-3991

Funding

Helse Midt-Norge (2019/38881)Nord-Trøndelag Hospital Trust (2022/1927, 2022/31982).
6 · The paper itself

Abstract

backgroundSepsis survivors commonly experience functional impairment, which may limit return to work. We investigated return to work (RTW) of patients hospitalized with sepsis and the associations with patient and clinical characteristics.

methodsWorking-age patients (18-60 years) admitted to a Norwegian hospital with sepsis between 2010 and 2021 were identified using the Norwegian Patient Registry and linked to sick-leave data from the Norwegian National Social Security System Registry. The main outcome was proportion of RTW in patients hospitalized with sepsis at 6 months, 1 year, and 2 years after discharge. Secondary outcomes were time trends in age-standardized proportions of RTW and probability of sustainable RTW (31 days of consecutive work). The time trends were calculated for each admission year, reported as percentage change with 95% confidence interval (CI). Time-to-event analysis, including crude and adjusted hazard risk (HRs), was used to explore the association between sustainable RTW, characteristics and subgroups of sepsis patients (intensive care unit (ICU) vs. non-ICU and COVID-19 vs. non-COVID-19).

resultsAmong 35.839 hospitalizations for sepsis among patients aged 18-60 years, 12.260 (34.2%) were working prior to hospitalization and included in this study. The mean age was 43.7 years. At 6 months, 1 year, and 2 years post-discharge, overall estimates showed that 58.6%, 67.5%, and 63.4%, respectively, were working. The time trends in age-standardized RTW for ICU and non-ICU sepsis patients remained stable over the study period, except the 2-year age-standardized RTW for non-ICU patients that declined by 1.51% (95% CI - 2.22 to - 0.79) per year, from 70.01% (95% CI 67.21 to 74.80) in 2010 to 57.04% (95% CI 53.81-60.28) in 2019. Characteristics associated with sustainable RTW were younger age, fewer comorbidities, and fewer acute organ dysfunctions. The probability of sustainable RTW was lower in ICU patients compared to non-ICU patients (HR 0.56; 95% CI 0.52-0.61) and higher in patients with COVID-19-related sepsis than in sepsis patients (HR 1.31; 95% CI 1.15-1.49).

conclusionAbsence of improvement in RTW proportions over time and the low probability of sustainable RTW in sepsis patients need attention, and further research to enhance outcomes for sepsis patients is required.

Indexed as

COVID-19SepsisAdultAftercareCohort StudiesHospitalizationHumansPatient DischargeRegistriesReturn to WorkCOVID-19ICURTWSepsis

Identifiers

PMID37968648
PMCPMC10652599

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.