The needs of patients with post–intensive care syndrome: A prospective, observational study
The needs of critical illness survivors and how best to address these are unclear. The objective of this study was to identify critical illness survivors who had developed post–intensive care syndrome and to explore their use of community healthcare resources, the socioeconomic impact of their illne...
Gespeichert in:
| Veröffentlicht in: | Australian critical care 2020-03, Vol.33 (2), p.116-122 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 122 |
|---|---|
| container_issue | 2 |
| container_start_page | 116 |
| container_title | Australian critical care |
| container_volume | 33 |
| creator | Heydon, Edward Wibrow, Bradley Jacques, Angela Sonawane, Ravikiran Anstey, Matthew |
| description | The needs of critical illness survivors and how best to address these are unclear.
The objective of this study was to identify critical illness survivors who had developed post–intensive care syndrome and to explore their use of community healthcare resources, the socioeconomic impact of their illness, and their self-reported unmet healthcare needs.
Patients from two intensive care units (ICUs) in Western Australia who were mechanically ventilated for 5 days or more and/or had a prolonged ICU admission were included in this prospective, observational study. Questionnaires were used to assess participants' baseline health and function before admission, which were then repeated at 1 and 3 months after ICU discharge.
Fifty participants were enrolled. Mean Functional Activities Questionnaire scores increased from 1.8 out of 30 at baseline (95% confidence interval [CI]: 0–3.5) to 8.9 at 1 month after ICU discharge (95% CI: 6.5–11.4; P = |
| doi_str_mv | 10.1016/j.aucc.2019.04.002 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2235064787</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1036731419300748</els_id><sourcerecordid>2235064787</sourcerecordid><originalsourceid>FETCH-LOGICAL-c356t-ce12d8104dbe2df15376bcfb15710648c820a24a6b3cc9178ccc978823c357703</originalsourceid><addsrcrecordid>eNp9kEtO5DAQhq0RaHjMXGAWIy9ZkOCy07EbsUGIl4TEBrZYjl0RbnUnwXYa9Y47cIE5C0fhJLjVMEtWZcnf_6vqI-QPsBIY1Eez0ozWlpzBtGRVyRj_QXZBSVWA5LCV30zUhRRQ7ZC9GGcZmFZ19ZPsCICacZC75OHuEWmH6CLtWzqY5LFLkT779EiHPqb3l1ffJeyiXyK1JiCNq86FfoHH9PTt3xD6OKBN-feQ9k3EsMwVfWfmNKbRrX6R7dbMI_7-nPvk_uL87uyquLm9vD47vSmsmNSpsAjcKWCVa5C7FiZC1o1tG5hIYHWlrOLM8MrUjbB2ClLZPKRSXOS8lEzsk4NNb17oacSY9MJHi_O56bAfo-ZcTHKRVDKjfIPavHsM2Ooh-IUJKw1Mr73qmV571WuvmlU6a8uhv5_9Y7NA9z_yJTIDJxsA85VLj0FHm1VadD5kP9r1_rv-D7Ipi4s</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2235064787</pqid></control><display><type>article</type><title>The needs of patients with post–intensive care syndrome: A prospective, observational study</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Heydon, Edward ; Wibrow, Bradley ; Jacques, Angela ; Sonawane, Ravikiran ; Anstey, Matthew</creator><creatorcontrib>Heydon, Edward ; Wibrow, Bradley ; Jacques, Angela ; Sonawane, Ravikiran ; Anstey, Matthew</creatorcontrib><description>The needs of critical illness survivors and how best to address these are unclear.
The objective of this study was to identify critical illness survivors who had developed post–intensive care syndrome and to explore their use of community healthcare resources, the socioeconomic impact of their illness, and their self-reported unmet healthcare needs.
Patients from two intensive care units (ICUs) in Western Australia who were mechanically ventilated for 5 days or more and/or had a prolonged ICU admission were included in this prospective, observational study. Questionnaires were used to assess participants' baseline health and function before admission, which were then repeated at 1 and 3 months after ICU discharge.
Fifty participants were enrolled. Mean Functional Activities Questionnaire scores increased from 1.8 out of 30 at baseline (95% confidence interval [CI]: 0–3.5) to 8.9 at 1 month after ICU discharge (95% CI: 6.5–11.4; P = <0.001) and 7.0 at 3 months after ICU discharge (95% CI: 4.9–9.1; P = < 0.001). Scores indicating functional dependence increased from 8% at baseline to 54% and 33% at 1 and 3 months after ICU discharge, respectively. Statistically significant declines in health-related quality of life were identified in the domains of Mobility, Personal Care, Usual Activities, and Pain/Discomfort at 1 month after ICU discharge and in Mobility, Personal Care, Usual Activities, and Anxiety/Depression at 3 months after ICU discharge. An increase in healthcare service use was identified after ICU discharge. Participants primarily identified mental health services as the service that they felt they would benefit from but were not accessing. Very low rates of return to work were observed, with 35% of respondents at 3 months, indicating they were experiencing financial difficulty as a result of their critical illness.
Study participants developed impairments consistent with post–intensive care syndrome, with associated negative socioeconomic ramifications, and identified mental health as an area they need more support in.</description><identifier>ISSN: 1036-7314</identifier><identifier>EISSN: 1878-1721</identifier><identifier>DOI: 10.1016/j.aucc.2019.04.002</identifier><identifier>PMID: 31160217</identifier><language>eng</language><publisher>Australia: Elsevier Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Critical Illness ; Female ; Health service needs and demand ; Humans ; Intensive care ; Intensive Care Units ; Male ; Mental Health Services ; Middle Aged ; Nursing ; Observational study ; Patient Discharge ; Prospective Studies ; Survivors - psychology ; Western Australia</subject><ispartof>Australian critical care, 2020-03, Vol.33 (2), p.116-122</ispartof><rights>2019 Australian College of Critical Care Nurses Ltd</rights><rights>Copyright © 2019 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-ce12d8104dbe2df15376bcfb15710648c820a24a6b3cc9178ccc978823c357703</citedby><cites>FETCH-LOGICAL-c356t-ce12d8104dbe2df15376bcfb15710648c820a24a6b3cc9178ccc978823c357703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.aucc.2019.04.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31160217$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Heydon, Edward</creatorcontrib><creatorcontrib>Wibrow, Bradley</creatorcontrib><creatorcontrib>Jacques, Angela</creatorcontrib><creatorcontrib>Sonawane, Ravikiran</creatorcontrib><creatorcontrib>Anstey, Matthew</creatorcontrib><title>The needs of patients with post–intensive care syndrome: A prospective, observational study</title><title>Australian critical care</title><addtitle>Aust Crit Care</addtitle><description>The needs of critical illness survivors and how best to address these are unclear.
The objective of this study was to identify critical illness survivors who had developed post–intensive care syndrome and to explore their use of community healthcare resources, the socioeconomic impact of their illness, and their self-reported unmet healthcare needs.
Patients from two intensive care units (ICUs) in Western Australia who were mechanically ventilated for 5 days or more and/or had a prolonged ICU admission were included in this prospective, observational study. Questionnaires were used to assess participants' baseline health and function before admission, which were then repeated at 1 and 3 months after ICU discharge.
Fifty participants were enrolled. Mean Functional Activities Questionnaire scores increased from 1.8 out of 30 at baseline (95% confidence interval [CI]: 0–3.5) to 8.9 at 1 month after ICU discharge (95% CI: 6.5–11.4; P = <0.001) and 7.0 at 3 months after ICU discharge (95% CI: 4.9–9.1; P = < 0.001). Scores indicating functional dependence increased from 8% at baseline to 54% and 33% at 1 and 3 months after ICU discharge, respectively. Statistically significant declines in health-related quality of life were identified in the domains of Mobility, Personal Care, Usual Activities, and Pain/Discomfort at 1 month after ICU discharge and in Mobility, Personal Care, Usual Activities, and Anxiety/Depression at 3 months after ICU discharge. An increase in healthcare service use was identified after ICU discharge. Participants primarily identified mental health services as the service that they felt they would benefit from but were not accessing. Very low rates of return to work were observed, with 35% of respondents at 3 months, indicating they were experiencing financial difficulty as a result of their critical illness.
Study participants developed impairments consistent with post–intensive care syndrome, with associated negative socioeconomic ramifications, and identified mental health as an area they need more support in.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Critical Illness</subject><subject>Female</subject><subject>Health service needs and demand</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Intensive Care Units</subject><subject>Male</subject><subject>Mental Health Services</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Observational study</subject><subject>Patient Discharge</subject><subject>Prospective Studies</subject><subject>Survivors - psychology</subject><subject>Western Australia</subject><issn>1036-7314</issn><issn>1878-1721</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtO5DAQhq0RaHjMXGAWIy9ZkOCy07EbsUGIl4TEBrZYjl0RbnUnwXYa9Y47cIE5C0fhJLjVMEtWZcnf_6vqI-QPsBIY1Eez0ozWlpzBtGRVyRj_QXZBSVWA5LCV30zUhRRQ7ZC9GGcZmFZ19ZPsCICacZC75OHuEWmH6CLtWzqY5LFLkT779EiHPqb3l1ffJeyiXyK1JiCNq86FfoHH9PTt3xD6OKBN-feQ9k3EsMwVfWfmNKbRrX6R7dbMI_7-nPvk_uL87uyquLm9vD47vSmsmNSpsAjcKWCVa5C7FiZC1o1tG5hIYHWlrOLM8MrUjbB2ClLZPKRSXOS8lEzsk4NNb17oacSY9MJHi_O56bAfo-ZcTHKRVDKjfIPavHsM2Ooh-IUJKw1Mr73qmV571WuvmlU6a8uhv5_9Y7NA9z_yJTIDJxsA85VLj0FHm1VadD5kP9r1_rv-D7Ipi4s</recordid><startdate>202003</startdate><enddate>202003</enddate><creator>Heydon, Edward</creator><creator>Wibrow, Bradley</creator><creator>Jacques, Angela</creator><creator>Sonawane, Ravikiran</creator><creator>Anstey, Matthew</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202003</creationdate><title>The needs of patients with post–intensive care syndrome: A prospective, observational study</title><author>Heydon, Edward ; Wibrow, Bradley ; Jacques, Angela ; Sonawane, Ravikiran ; Anstey, Matthew</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-ce12d8104dbe2df15376bcfb15710648c820a24a6b3cc9178ccc978823c357703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Critical Illness</topic><topic>Female</topic><topic>Health service needs and demand</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Intensive Care Units</topic><topic>Male</topic><topic>Mental Health Services</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Observational study</topic><topic>Patient Discharge</topic><topic>Prospective Studies</topic><topic>Survivors - psychology</topic><topic>Western Australia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heydon, Edward</creatorcontrib><creatorcontrib>Wibrow, Bradley</creatorcontrib><creatorcontrib>Jacques, Angela</creatorcontrib><creatorcontrib>Sonawane, Ravikiran</creatorcontrib><creatorcontrib>Anstey, Matthew</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Australian critical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heydon, Edward</au><au>Wibrow, Bradley</au><au>Jacques, Angela</au><au>Sonawane, Ravikiran</au><au>Anstey, Matthew</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The needs of patients with post–intensive care syndrome: A prospective, observational study</atitle><jtitle>Australian critical care</jtitle><addtitle>Aust Crit Care</addtitle><date>2020-03</date><risdate>2020</risdate><volume>33</volume><issue>2</issue><spage>116</spage><epage>122</epage><pages>116-122</pages><issn>1036-7314</issn><eissn>1878-1721</eissn><abstract>The needs of critical illness survivors and how best to address these are unclear.
The objective of this study was to identify critical illness survivors who had developed post–intensive care syndrome and to explore their use of community healthcare resources, the socioeconomic impact of their illness, and their self-reported unmet healthcare needs.
Patients from two intensive care units (ICUs) in Western Australia who were mechanically ventilated for 5 days or more and/or had a prolonged ICU admission were included in this prospective, observational study. Questionnaires were used to assess participants' baseline health and function before admission, which were then repeated at 1 and 3 months after ICU discharge.
Fifty participants were enrolled. Mean Functional Activities Questionnaire scores increased from 1.8 out of 30 at baseline (95% confidence interval [CI]: 0–3.5) to 8.9 at 1 month after ICU discharge (95% CI: 6.5–11.4; P = <0.001) and 7.0 at 3 months after ICU discharge (95% CI: 4.9–9.1; P = < 0.001). Scores indicating functional dependence increased from 8% at baseline to 54% and 33% at 1 and 3 months after ICU discharge, respectively. Statistically significant declines in health-related quality of life were identified in the domains of Mobility, Personal Care, Usual Activities, and Pain/Discomfort at 1 month after ICU discharge and in Mobility, Personal Care, Usual Activities, and Anxiety/Depression at 3 months after ICU discharge. An increase in healthcare service use was identified after ICU discharge. Participants primarily identified mental health services as the service that they felt they would benefit from but were not accessing. Very low rates of return to work were observed, with 35% of respondents at 3 months, indicating they were experiencing financial difficulty as a result of their critical illness.
Study participants developed impairments consistent with post–intensive care syndrome, with associated negative socioeconomic ramifications, and identified mental health as an area they need more support in.</abstract><cop>Australia</cop><pub>Elsevier Ltd</pub><pmid>31160217</pmid><doi>10.1016/j.aucc.2019.04.002</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1036-7314 |
| ispartof | Australian critical care, 2020-03, Vol.33 (2), p.116-122 |
| issn | 1036-7314 1878-1721 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2235064787 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Aged, 80 and over Critical Illness Female Health service needs and demand Humans Intensive care Intensive Care Units Male Mental Health Services Middle Aged Nursing Observational study Patient Discharge Prospective Studies Survivors - psychology Western Australia |
| title | The needs of patients with post–intensive care syndrome: A prospective, observational study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-18T13%3A22%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20needs%20of%20patients%20with%20post%E2%80%93intensive%20care%20syndrome:%20A%C2%A0prospective,%20observational%20study&rft.jtitle=Australian%20critical%20care&rft.au=Heydon,%20Edward&rft.date=2020-03&rft.volume=33&rft.issue=2&rft.spage=116&rft.epage=122&rft.pages=116-122&rft.issn=1036-7314&rft.eissn=1878-1721&rft_id=info:doi/10.1016/j.aucc.2019.04.002&rft_dat=%3Cproquest_cross%3E2235064787%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2235064787&rft_id=info:pmid/31160217&rft_els_id=S1036731419300748&rfr_iscdi=true |