Return to work after COVID-19 infection – A Danish nationwide registry study

P. A. Jacobsen*, M. P. Andersen, G. Gislason, M. Phelps, J. H. Butt, L. Køber, M. Schou, E. Fosbøl, H. C. Christensen, C. Torp-Pedersen, T. Gerds, U. M. Weinreich, K. Kragholm

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

23 Citations (Scopus)
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Abstract

Objectives: This study aimed to explore return to work after COVID-19 and how disease severity affects this. Study design: This is a Nationwide Danish registry–based cohort study using a retrospective follow-up design. Methods: Patients with a first-time positive SARS-CoV-2 polymerase chain reaction test between 1 January 2020 and 30 May 2020, including 18–64 years old, 30-day survivors, and available to the workforce at the time of the first positive test were included. Admission types (i.e. no admission, admission to non–intensive care unit [ICU] department and admission to ICU) and return to work was investigated using Cox regression standardised to the age, sex, comorbidity and education-level distribution of all included subjects with estimates at 3 months from positive test displayed. Results: Among the 7466 patients included in the study, 81.9% (6119/7466) and 98.4% (7344/7466) returned to work within 4 weeks and 6 months, respectively, with 1.5% (109/7466) not returning. Of the patients admitted, 72.1% (627/870) and 92.6% (805/870) returned 1 month and 6 months after admission to the hospital, with 6.6% (58/870) not returning within 6 months. Of patients admitted to the ICU, 36% (9/25) did not return within 6 months. Patients with an admission had a lower chance of return to work 3 months from positive test (relative risk [RR] 0.95, 95% confidence interval [CI] 0.94–0.96), with the lowest chance in patients admitted to an ICU department (RR 0.54, 95% CI 0.35–0.72). Female sex, older age, and comorbidity were associated with a lower chance of returning to work. Conclusion: Hospitalised patients with COVID-19 infection have a lower chance of returning to work with potential implications for postinfection follow-up and rehabilitation.

Original languageEnglish
JournalPublic Health
Volume203
Pages (from-to)116-122
Number of pages7
ISSN0033-3506
DOIs
Publication statusPublished - Feb 2022

Bibliographical note

Publisher Copyright:
© 2021 The Authors

Keywords

  • Covid-19
  • Long-term COVID
  • Return to work
  • Severity
  • Sick leave
  • Workforce connection

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