Health policy and future planning for survivors of critical illness

Kahn, Jeremy M.; Angus, Derek C.

doi:10.1097/mcc.0b013e3282efb7c9

Cited by 29 publications

(24 citation statements)

References 53 publications

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“…[8][9][10] A study 8 of patients with multiple organ failure in 22 ICUs in the United Kingdom indicated that diminished HRQOL had an adverse effect on family employment and income; one-third of the families required support from government sources. In addition, one-quarter of the patients had decreased independence in activities of daily living and an increase in the use of health services.…”

Section: Contrast the Health-related Quality Of Life (Hrqol)mentioning

confidence: 99%

“…14 The Intensive Care Experience Questionnaire (ICEQ) 15 was completed 2 months after discharge from the hospital. The instrument has 4 domains: awareness of surroundings (scores 9-45), frightening experiences (scores 6-30), recall of experiences (scores , and satisfaction with care (scores [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. Higher scores indicate greater awareness, more frightening experiences, better recall of experiences, and greater satisfaction with care.…”

Section: Measures and Data Collectionmentioning

confidence: 99%

See 1 more Smart Citation

Health-Related Quality of Life and Associated Factors in Intensive Care Unit Survivors 6 Months After Discharge

McKinley

Fien

Elliott

et al. 2016

American Journal of Critical Care

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Background Intensive care unit survivors often have diminished health-related quality of life. Objectives To describe health-related quality of life of former intensive care patients and identify associated factors 6 months after hospital discharge. Methods Six months after discharge, 193 patients from an intensive care unit completed the Short Form-36 Health Survey; measures of sleep; Intensive Care Experience Questionnaire; Depression, Anxiety and Stress Scales; and Posttraumatic Stress Disorder Checklist. Norm-based scores were calculated for the Short Form-36. Bivariate associations with Short Form-36 scores were tested by using the Pearson correlation. Multiple linear regression was used to identify independent associations with health-related quality of life. Results All scores on the Short Form-36 (physical component summary, 41.8; mental component summary, 48.2) were less than population norms. Bivariate associations with health-related quality of life (P < .05) were scores on the Acute Physiology and Chronic Health Evaluation II, hospital length of stay, awareness of surroundings and frightening experiences, depression, anxiety, stress, posttraumatic symptoms, and sleep quality at 2 and 6 months. In linear regression, scores on the Acute Physiology and Chronic Health Evaluation II, hospital length of stay, and sleep quality at 6 months were independently associated with Short Form-36 physical summary scores (P < .001); depression and stress were independently associated with mental summary scores (P < .001). Conclusion Sleep, depression, and stress are potential targets for interventions to improve health-related quality of life and improve recovery.

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Section: Contrast the Health-related Quality Of Life (Hrqol)mentioning

confidence: 99%

Section: Measures and Data Collectionmentioning

confidence: 99%

Health-Related Quality of Life and Associated Factors in Intensive Care Unit Survivors 6 Months After Discharge

McKinley

Fien

Elliott

et al. 2016

American Journal of Critical Care

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“…With the currently increasing elderly population and developments in intensive care, there is expected to be an increase in diseases requiring chronic intensive care and increased consumption of healthcare resources (25,26). Throughout the world, but especially in the USA, projects have been developed related to healthcare costs and resource management (25,26).…”

Section: General Features Of Ltchmentioning

confidence: 99%

“…Throughout the world, but especially in the USA, projects have been developed related to healthcare costs and resource management (25,26). Despite the rapid growth of LTCHs, little is still known about the quality of results and difficulty of weaning from mechanical ventilation (29).…”

Section: General Features Of Ltchmentioning

confidence: 99%

Long-term care hospitals in Turkey: a review

Dinçer

Kahveci

Döğer³

et al. 2017

East Mediterr Health J

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Centres de long séjour hospitaliers en Turquie : analyseUn centre hospitalier de soins de longue durée (CHSLD) est un établissement spécialisé accueillant des patients qui souffrent de graves problèmes de santé et nécessitent des soins continus et intensifs sans avoir à recourir à des méthodes diagnostiques complètes. Les CHLSD fournissent des soins prolongés et complexes ainsi que des soins de plaies dans la période qui suit la phase aigüe de la maladie. Aux États-Unis, lorsque le séjour en unité des soins intensifs est prolongé, les patients peuvent être transférés vers un CHSLD. Medicare recommande une période d'hospitalisation en CHSLD de plus de 25 jours. Le système des CHSLD en Europe est différent de celui qui est établi dans d'autres pays non-européens. On note par ailleurs des différences entre les pays européens eux-mêmes. Dans la pratique, les patients qui ont besoin de soins de longue durée en Turquie sont hospitalisés en unités de soins intensifs. Le concept des soins de longue durée est nouveau dans le système de santé turc et il n'y existe pas d'études sur les CHSLD. Une proportion importante des lits réservés aux unités de soins intensifs en Turquie sont utilisés pour les soins de longue durée aux patients atteints de problèmes complexes. ABSTRACT A long-term care hospital (LTCH) is a specialized facility for patients with serious health problems who require continuous and intensive care but not comprehensive diagnostic methods. LTCHs provide prolonged complex care and wound care in the period following the acute stage of disease. When intensive care unit (ICU) stay is prolonged in the United States of America, the patients may be transferred to an LTCH. Medicare suggests hospitalization > 25 days in LTCHs. The LTC system in Europe differs from that in other non-European countries and differences are also seen among European countries. In practice, patients who need LTC in Turkey are hospitalized in ICUs. Long term care is a new concept for the Turkish health system and there are no studies on LTCHs in Turkey. A significant proportion of intensive care beds in Turkey are used for long-term hospitalized patients with complex problems. This is a clear waste of resources. The establishment of LTCHs in Turkey would prevent from this waste and provide the opportunity to increase experience of complex treatments.

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“…10 In addition, there has been a call to link national stroke policy more strategically to regional uptake. For instance, Lavados called for more specific details related to uptake at the regional level after an analysis of stroke incidence and service in Latin America and the Caribbean.…”

Section: Development and Implementation Of Stroke Guidelinesmentioning

confidence: 99%