Characteristics and Outcomes of Intensive Care Unit Survivors: Experience of a Multidisciplinary Outpatient Clinic in a Teaching Hospital
| Autor: | Daniela Prochnow Gund, Jaquilene Barreto da Costa, Erica Fernanda Osaku, Péricles Almeida Delfino Duarte, D. Miglioranza, Claudia Regina Felicetti Lordani, Sheila Taba, Claudia Rejane Lima de Macedo Costa, Silvana Triló Duarte, Amaury Cesar Jorge |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Critical Care Epidemiology medicine.medical_treatment Critical Illness Population Respiratory Tract Diseases law.invention Hospitals University 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) law medicine Outpatient clinic Humans 030212 general & internal medicine Survivors education Depression (differential diagnoses) Aged Retrospective Studies lcsh:R5-920 education.field_of_study Rehabilitation business.industry Depression 030208 emergency & critical care medicine Retrospective cohort study General Medicine Clinical Science Middle Aged Intensive care unit Hospitalization Intensive Care Units Socioeconomic Factors Emergency medicine Quality of Life Female lcsh:Medicine (General) business Brazil |
| Zdroj: | Clinics Clinics, Volume: 72, Issue: 12, Pages: 764-772, Published: DEC 2017 Clinics; v. 72 n. 12 (2017); 764-772 Clinics; Vol. 72 Núm. 12 (2017); 764-772 Clinics; Vol. 72 No. 12 (2017); 764-772 Universidade de São Paulo (USP) instacron:USP Clinics, Vol 72, Iss 12, Pp 764-772 |
| ISSN: | 1980-5322 1807-5932 |
| Popis: | OBJECTIVES: To describe the experience of an outpatient clinic with the multidisciplinary evaluation of intensive care unit survivors and to analyze their social, psychological, and physical characteristics in a low-income population and a developing country. METHODS: Retrospective cohort study. Adult survivors from a general intensive care unit were evaluated three months after discharge in a post-intensive care unit outpatient multidisciplinary clinic over a period of 6 years (2008-2014) in a University Hospital in southern Brazil. RESULTS: A total of 688 out of 1945 intensive care unit survivors received care at the clinic. Of these, 45.2% had psychological disorders (particularly depression), 49.0% had respiratory impairments (abnormal spirometry), and 24.6% had moderate to intense dyspnea during daily life activities. Patients experienced weight loss during hospitalization (mean=11.7%) but good recovery after discharge (mean gain=9.1%), and 94.6% were receiving nutrition orally. One-third of patients showed a reduction of peripheral muscular strength, and 5.7% had moderate to severe tetraparesis or tetraplegia. There was a significant impairment in quality of life (SF-36), particularly in the physical and emotional aspects and in functional capacity. The economic impacts on the affected families, which were mostly low-income families, were considerable. Most patients did not have full access to rehabilitation services, even though half of the families were receiving financial support from the government. CONCLUSIONS: A significant number of intensive care unit survivors evaluated 3 months after discharge had psychological, respiratory, motor, and socioeconomic problems; these findings highlight that strategies aimed to assist critically ill patients should be extended to the post-hospitalization period and that this problem is particularly important in low-income populations. |
| Databáze: | OpenAIRE |
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