Ambulatory and stationary healthcare use in survivors of ARDS during the first year after discharge from ICU: findings from the DACAPO cohort

Autor:	Brandstetter, Susanne, Dodoo-Schittko, Frank, Brandl, Magdalena, Blecha, Sebastian, Bein, Thomas, Apfelbacher, Christian, DACAPO, study group
Rok vydání:	2019
Předmět:	Healthcare use ARDS medicine.medical_specialty 610 Medizin Ambulatory health care Critical Care and Intensive Care Medicine law.invention 03 medical and health sciences 0302 clinical medicine Stationary health care law Anesthesiology Health care medicine Health services research ddc:610 business.industry Research lcsh:Medical emergencies. Critical care. Intensive care. First aid 030208 emergency & critical care medicine lcsh:RC86-88.9 medicine.disease Intensive care unit Healthcare use Ambulatory health care Stationary health care Health services research ARDS Critical illness Post-ICU Post-ICU 030228 respiratory system Ambulatory Emergency medicine Cohort Critical illness business
Zdroj:	Annals of Intensive Care Annals of Intensive Care, Vol 9, Iss 1, Pp 1-11 (2019)
ISSN:	2110-5820
DOI:	10.1186/s13613-019-0544-5
Popis:	Background For many survivors of acute respiratory distress syndrome (ARDS), the process from discharge from intensive care unit (ICU) to recovery is long and difficult. However, healthcare use after discharge from ICU has received only little attention by research. This study sets out to investigate the extent of ambulatory and stationary healthcare use among survivors of ARDS in Germany (multicenter DACAPO cohort) and to analyze predictors of stationary healthcare use. Results A total of 396 survivors of ARDS provided data at 1 year after discharge from ICU. Fifty percent of 1-year survivors were hospitalized for 48 days or longer after discharge from ICU, with 10% spending more than six out of 12 months in stationary care. The duration of hospitalization increased significantly by the length of the initial ICU stay. All participants reported at least one outpatient visit (including visits to general practitioners), and 50% contacted four or more different medical specialties within the first year after discharge from ICU. Conclusions For most of the patients, the first year after ARDS is characterized by an extensive amount of healthcare utilization, especially with regard to stationary health care. These findings shed light on the substantial morbidity of patients after ARDS and contribute to a better understanding of the situation of patients following discharge from ICU.
Databáze:	OpenAIRE
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