Impaired Work Productivity After Aneurysmal Subarachnoid Hemorrhage.
Elizabeth A Crago, Thomas J Price, Catherine M Bender and 3 others
PMID 27579960WHAT IT FOUND
Survivors of aneurysmal subarachnoid hemorrhage who returned to work reported persistent productivity loss at 12 months.
Self-perceived cognitive deficits, rather than objective test scores, were most strongly linked to reduced work output and time management difficulties.
Key findings
01Self-perceived memory deficits were strongly associated with overall work productivity loss and difficulties in time management, physical work, and mental/interpersonal skills at three months.
02Objective measures of working memory remained significantly associated with lower mental/interpersonal work scores and overall productivity loss at 12 months.
03Participants reported the highest difficulty with concentration, visual issues, and working required hours, with these problems persisting unchanged from three to 12 months.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for RNs
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What it does not show
The sample size was small (52 participants), which prohibited regression analysis and prevented controlling for confounders like depression, anxiety, and fatigue. The study only included participants who successfully returned to work, excluding those with more severe deficits who did not return. The analysis was cross-sectional at two time points, so it cannot establish causality between cognitive deficits and work productivity.
The easy way to misread this
Do not assume that normal objective neuropsychological test scores indicate a patient is ready to return to full work productivity. This study found that patients' own perceptions of their cognitive limitations were strongly associated with work difficulties, even when objective measures were less predictive.