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Patient-reported physical functioning is limited in almost half of critical illness survivors 1-year after ICU-admission: A retrospective single-centre study

PLoS ONE, ISSN: 1932-6203, Vol: 15, Issue: 12 December, Page: e0243981
2020
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Article Description

Post-intensive care unit (ICU) sequelae, including physical and mental health problems, are relatively unexplored. Characteristics commonly used to predict outcome lack prognostic value when it comes to long-term physical recovery. Therefore, the objective of this study was to assess the incidence of non-recovery in long-stay ICU-patients. In this single-centre study, retrospective data of adults with an ICU stay >48 hours who visited the specialized post-ICU clinic, and completed the Dutch RAND 36-item Short Form questionnaire at 3 and 12 months post-ICU, were retrieved from electronic patient records. In cases where physical functioning scores at 12 months were below reference values, patients were allocated to the physical non-recovery (NR) group. Significantly different baseline and (post-)ICU-characteristics were assessed for correlations with physical recovery at 12 months post-ICU. Of 250 patients, 110 (44%) fulfilled the criteria for the NR-group. Neither the severity of illness, type of admission, nor presence of sepsis did not differ between groups. However, NR-patients had a higher age, were more often female, and had a higher incidence of co-morbidities. Shorter LOS ICU, lower incidence of medical comorbidities, and better physical performance at 3 months were significantly correlated with 1-year physical recovery. Comorbidities and reduced physical functioning at 3 months were identified as independent riskfactors for long-term physical non-recovery. In conclusion, a substantial proportion of longstay ICU-patients who visited the standard care post-ICU clinic did not fulfil the criteria for full physical recovery at 12 months post-ICU. Commonly used ICU-characteristics, such as severity of illness, do not have sufficient prognostic value when it comes to long-term recovery of health-related quality of life.

Bibliographic Details

http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85098322435&origin=inward; http://dx.doi.org/10.1371/journal.pone.0243981; http://www.ncbi.nlm.nih.gov/pubmed/33315942; https://dx.plos.org/10.1371/journal.pone.0243981.g003; http://dx.doi.org/10.1371/journal.pone.0243981.g003; https://dx.plos.org/10.1371/journal.pone.0243981; https://dx.plos.org/10.1371/journal.pone.0243981.t002; http://dx.doi.org/10.1371/journal.pone.0243981.t002; https://dx.plos.org/10.1371/journal.pone.0243981.g001; http://dx.doi.org/10.1371/journal.pone.0243981.g001; https://dx.plos.org/10.1371/journal.pone.0243981.g002; http://dx.doi.org/10.1371/journal.pone.0243981.g002; https://dx.plos.org/10.1371/journal.pone.0243981.t001; http://dx.doi.org/10.1371/journal.pone.0243981.t001; https://dx.doi.org/10.1371/journal.pone.0243981.g001; https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0243981.g001; https://dx.doi.org/10.1371/journal.pone.0243981.t002; https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0243981.t002; https://dx.doi.org/10.1371/journal.pone.0243981; https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0243981; https://dx.doi.org/10.1371/journal.pone.0243981.g003; https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0243981.g003; https://dx.doi.org/10.1371/journal.pone.0243981.g002; https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0243981.g002; https://dx.doi.org/10.1371/journal.pone.0243981.t001; https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0243981.t001; https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0243981&type=printable

Lise F. E. Beumeler; Anja van Wieren; Hanneke Buter; Tim van Zutphen; Nynke A. Bruins; Corine M. de Jager; Matty Koopmans; Gerjan J. Navis; E. Christiaan Boerma; Scott Brakenridge

Public Library of Science (PLoS)

Multidisciplinary

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