Mortality and functional status at one-year of follow-up in elderly patients with prolonged ICU stay

Pintado, María-Consuelo; Villa, P.; Luján, J.; Trascasa, María; Molina, R.; González‐García, Nuria; Pablo, Raúl de

doi:10.1016/j.medine.2015.08.006

Cited by 19 publications

(25 citation statements)

References 30 publications

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“…[24][25][26] Some studies have reported gradual recovery of physical function after discharge. 22,[27][28][29][30] A prospective observational study reported that BI at 12 months after discharge from ICU was significantly higher than that at 3 months, from 97 (IQR, 53.7-100) at 3 months to 100 (IQR, 90-100) at 12 months. Similarly, the prevalence of ADL disability also decreased over time, from 51.4% at 3 months to 32.8% at 12 months.…”

Section: Discussionmentioning

confidence: 99%

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Activities of daily living status and psychiatric symptoms after discharge from an intensive care unit: a single‐center 12‐month longitudinal prospective study

Shima

Miyamoto

Shibata

et al. 2020

Acute Medicine & Surgery

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Aim In post‐intensive care syndrome (PICS), long‐term survivors of critical illness present various physical and mental symptoms that can persist for years after discharge. Post‐intensive care syndrome in Japan has not been well described, so this study aims to elucidate its epidemiology. Methods We undertook a single‐center prospective longitudinal cohort study in a mixed intensive care unit (ICU) in a Japanese tertiary hospital. Adult patients emergently admitted to the ICU were eligible for inclusion in the study. To assess activity of daily living (ADL) status and psychiatric symptoms, we posted a questionnaire at 3 and 12 months after discharge from the ICU. We evaluated ADL status, anxiety, depression, and post‐traumatic stress disorder symptoms using the Barthel index, Hospital Anxiety and Depression Scale, and Impact of Event Scale − Revised, respectively. Results Enrolled in this study were 204 patients. We received responses from 117/147 (80%) and 74/98 (76%) patients at 3 and 12 months, respectively. At 3 months, the prevalence of ADL disability, anxiety, depression, and post‐traumatic stress disorder symptoms was 32%, 42%, 48%, and 20%, respectively. At 12 months, the prevalence was 22%, 33%, 39%, and 21%, respectively. The prevalence of any symptoms was 66% at 3 months and 55% at 12 months. Barthel index score at 12 months was improved significantly from that at 3 months. Hospital Anxiety and Depression Scale and Impact of Event Scale − Revised scores at 12 months showed no improvement. Conclusions At 3 and 12 months after ICU discharge, over half of our Japanese patients suffered ADL disability and/or psychiatric symptoms. The ADL disability improved at 1 year, but psychiatric symptoms did not.

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Section: Discussionmentioning

confidence: 99%

“…Some studies have reported gradual recovery of physical function after discharge 22,27–30 . A prospective observational study reported that BI at 12 months after discharge from ICU was significantly higher than that at 3 months, from 97 (IQR, 53.7–100) at 3 months to 100 (IQR, 90–100) at 12 months.…”

Section: Discussionmentioning

confidence: 99%

Activities of daily living status and psychiatric symptoms after discharge from an intensive care unit: a single‐center 12‐month longitudinal prospective study

Shima

Miyamoto

Shibata

et al. 2020

Acute Medicine & Surgery

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“…19 Mortality and functional status of elderly patients over 75 years old in an Intensive Care Unit for more than 14 days were determined, revealing that longer hospitalization was related to worsening functional capacity at discharge and at home follow-up compared to the elderly in the group with shorter length of stay. 17 Worsening functional capacity before and after ICU admission was found to be an independent factor associated with short-term mortality after discharge from another hospital. study.…”

Section:  Longevity Functionality On Homecoming After Icu Admission mentioning

confidence: 94%

“…19 The prognostic index (PI), which measures the severity of the disease and predicts the likelihood of death following ICU discharge and discharge from hospital, the Acute Physiology and Chronic Health Evaluation (APACHE), was used in most studies. [15][16][17][18][19][20][21][22] Older adults admitted to the ICU have poor short-term outcomes after hospital discharge, with high mortality rates. Good longterm results were found in those who survived for over a year.…”

Section:  Survival and Mortality Of Long-term Returnees After Icu Admentioning

confidence: 99%

Adaptação de longevos no domicílio após alta da unidade intensiva

Pessoa

Pedreira

Santos

et al. 2019

Rev enferm UFPE on line.

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Objective: to investigate how the adaptation of the oldest old at home occurs after discharge from the Intensive Care Unit. Method: this is a descriptive bibliographic study, integrative review, between 2013 and 2017, in the Databases: LILACS, MEDLINE via PubMed, CINAHL. Content analysis was used to categorize the data. Results: ten studies were selected from which three thematic categories originated: Survival and mortality; Functionality; Difficulties, facilities and needs of the long-term returnee after discharge from the Intensive Care Unit. Conclusion: it was concluded that the elderly who experience hospitalization in critical units need specific and continued care after return home, formal and informal caregivers, support from health care networks, and transition care during the process of hospitalization. Descriptors: Elderly of 80 Years and Older; Intensive Care Unit; Transitional Care; Nursing; Hospitalization; Elderly Health. RESUMO Objetivo: investigar como ocorre a adaptação de longevos no domicílio após alta hospitalar de internamento na Unidade de Terapia Intensiva. Método: trata-se de estudo bibliográfico, descritivo, tipo revisão integrativa, entre 2013 e 2017, nas Bases de Dados: LILACS, MEDLINE via PubMed, CINAHL e no repositório PubMed. Utilizou-se a Análise de Conteúdo para categorizar os dados. Resultados: selecionaram-se dez estudos dos quais originaram três categorias temáticas: Sobrevida e mortalidade; Funcionalidade; Dificuldades, facilidades e necessidades do longevo que retorna ao domicílio após alta da Unidade de Terapia Intensiva. Conclusão: concluiu-se que longevos que vivenciam a internação em unidades críticas necessitam de cuidados específicos e continuados após o retorno ao domicílio, de cuidadores formais e informais, do apoio das redes de atenção à saúde, além de cuidados de transição durante o processo de hospitalização. Descritores: Idoso de 80 Anos ou Mais; Unidade de Terapia Intensiva; Cuidado Transicional; Enfermagem; Hospitalização; Saúde do Idoso. RESUMENObjetivo: investigar se ocurre la adaptación del anciano en el jogar después de alta de la Unidad de Cuidados Intensivos. Método: este es un estudio bibliográfico descriptivo, revisión integradora, entre 2013 y 2017, en las Bases de datos: LILACS, MEDLINE via PubMed, CINAHL. El análisis de contenido se utilizó para clasificar los datos. Resultados: se seleccionaron diez estudios de los cuales se originaron tres categorías temáticas: Supervivencia y mortalidad; Funcionalidad; Dificultades, instalaciones y necesidades del longevo que vuelve al hogar después del alta de la Unidad de Cuidados Intensivos. Conclusión: se concluyó que los ancianos que experimentan hospitalización en unidades críticas necesitan atención específica y continuada después del regreso a casa, de cuidadores formales e informales, del apoyo de redes de atención médica y atención de transición durante el proceso de hospitalización. Descriptores: Anciano de 80

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“…Si bien todos estos ingresos añadidos suponen un mayor uso de recursos, una forma simplificada de valorar si estos recursos han sido debidamente utilizados podría ser analizar si han supuesto una prolongación del tiempo de estancia y un aumento de mortalidad dentro de este grupo de pacientes. Al contrario, la estancia media disminuyó 0,3 días entre periodos, y la mortalidad cruda no varió, siendo del 15,5%, consistente con cifras reportadas hasta el momento (Fuchs et al 2012;Pintado et al 2016;Ihra et al 2012;Lown et al 2013). Sin embargo, parece prudente remarcar que no solo la mortalidad tiene importancia en el desenlace de los pacientes muy ancianos, también se debe tener en cuenta la calidad de vida al alta.…”

Section: Pacientes Muy Ancianosunclassified

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Efecto De Las Células Mesenquimales Sobre El Segmento Posterior Del Ojo en Un Modelo Experimental De Enfermedad De Injerto Cont

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Mortality and functional status at one-year of follow-up in elderly patients with prolonged ICU stay

Cited by 19 publications

References 30 publications

Activities of daily living status and psychiatric symptoms after discharge from an intensive care unit: a single‐center 12‐month longitudinal prospective study

Activities of daily living status and psychiatric symptoms after discharge from an intensive care unit: a single‐center 12‐month longitudinal prospective study

Adaptação de longevos no domicílio após alta da unidade intensiva

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