Repositório Digital

A- A A+

Factors influencing physical functional status in intensive care unit survivors two years after discharge

.

Factors influencing physical functional status in intensive care unit survivors two years after discharge

Mostrar registro completo

Estatísticas

Título Factors influencing physical functional status in intensive care unit survivors two years after discharge
Autor Haas, Jaqueline Sangiogo
Teixeira, Cassiano
Cabral, Cláudia da Rocha
Fleig, Alessandra Hofstadler Deiques
Freitas, Ana Paula da Rocha
Treptow, Erika Cristine
Rizzotto, Márcia Inês Boff
Machado, André Sant'Ana
Balzano, Patrícia de Campos
Hetzel, Marcio Pereira
Dallegrave, Daniela
Oliveira, Roselaine Pinheiro de
Savi, Augusto
Vieira, Silvia Regina Rios
Abstract Background: Studies suggest that in patients admitted to intensive care units (ICU), physical functional status (PFS) improves over time, but does not return to the same level as before ICU admission. The goal of this study was to assess physical functional status two years after discharge from an ICU and to determine factors influencing physical status in this population. Methods: The study reviewed all patients admitted to two non-trauma ICUs during a one-year period and included patients with age ≥ 18 yrs, ICU stay ≥ 24 h, and who were alive 24 months after ICU discharge. To assess PFS, Karnofsky Performance Status Scale scores and Lawton-Instrumental Activities of Daily Living (IADL) scores at ICU admission (K-ICU and L-ICU) were compared to the scores at the end of 24 months (K-24mo and L-24mo). Data at 24 months were obtained through telephone interviews. Results: A total of 1,216 patients were eligible for the study. Twenty-four months after ICU discharge, 499 (41.6%) were alive, agreed to answer the interview, and had all hospital data available. PFS (K-ICU: 86.6 ± 13.8 vs. K-24mo: 77.1 ± 19.6, p < 0.001) and IADL (L-ICU: 27.0 ± 11.7 vs. L-24mo: 22.5 ± 11.5, p < 0.001) declined in patients with medical and unplanned surgical admissions. Most strikingly, the level of dependency increased in neurological patients (K-ICU: 86 ± 12 vs. K-24mo: 64 ± 21, relative risk [RR] 2.6, 95% CI, 1.8–3.6, p < 0.001) and trauma patients (K-ICU: 99 ± 2 vs. K-24mo: 83 ± 21, RR 2.7, 95% CI, 1.6–4.6, p < 0.001). The largest reduction in the ability to perform ADL occurred in neurological patients (L-ICU: 27 ± 7 vs. L-24mo: 15 ± 12, RR 3.3, 95% CI, 2.3–4.6 p < 0.001), trauma patients (L-ICU: 32 ± 0 vs. L-24mo: 25 ± 11, RR 2.8, 95% CI, 1.5–5.1, p < 0.001), patients aged ≥ 65 years (RR 1.4, 95% CI, 1.07–1.86, p = 0.01) and those who received mechanical ventilation for ≥ 8 days (RR 1.48, 95% CI, 1.02–2.15, p = 0.03). Conclusions: Twenty-four months after ICU discharge, PFS was significantly poorer in patients with neurological injury, trauma, age ≥ 65 tears, and mechanical ventilation ≥ 8 days. Future studies should focus on the relationship between PFS and health-related quality of life in this population.
Contido em BMC anesthesiology. London. Vol. 13 (Jun. 2013), 9p.
Assunto Assistência de longa duração
Atividades cotidianas
Mortalidade
Prognóstico
Qualidade de vida
Unidades de terapia intensiva
[en] Activities of Daily Living
[en] Health-related Quality of Life
[en] Intensive Care Unit
[en] Long-term Care
[en] Mortality
[en] Physical Functional Status
[en] Prognosis
Origem Estrangeiro
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/110058
Arquivos Descrição Formato
000898497.pdf (472.1Kb) Texto completo (inglês) Adobe PDF Visualizar/abrir

Este item está licenciado na Creative Commons License

Este item aparece na(s) seguinte(s) coleção(ões)


Mostrar registro completo

Percorrer



  • O autor é titular dos direitos autorais dos documentos disponíveis neste repositório e é vedada, nos termos da lei, a comercialização de qualquer espécie sem sua autorização prévia.
    Projeto gráfico elaborado pelo Caixola - Clube de Criação Fabico/UFRGS Powered by DSpace software, Version 1.8.1.