Social and economic problems of ICU survivors identified by a structured social welfare consultation

McPeake, Joanne; Henderson, Philip; Darroch, G.; Iwashyna, Theodore J.; MacTavish, Pamela; Robinson, Carly; Quasim, Tara

doi:10.1186/s13054-019-2442-5

Cited by 34 publications

(25 citation statements)

References 5 publications

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“…28,36,41 It is important that the healthcare system and policymakers consider early investments in post-hospital rehabilitation and adaptive services, to allow workers to return to the workforce as soon as possible, and prepare for an increased need for financial support for recovering COVID patients. 42 Importantly, these data cannot distinguish between the impact of SARS-CoV-2 infection itself from the treatment received for COVID-19 or other non-COVID-19-specific aspects of hospital care. COVID-19 inpatient case fatality rates and management have changed over time, and so generalizability to future cohorts is unknown.…”

Section: Discussionmentioning

confidence: 99%

“…These data may, indeed, look worse at later follow‐up given the delay in hospital billing and new expenses in the wake of illness and hospitalization 28 , 36 , 41 . It is important that the healthcare system and policymakers consider early investments in post‐hospital rehabilitation and adaptive services to allow workers to return to the workforce as soon as possible, and prepare for an increased need for financial support for recovering COVID patients 42 …”

Section: Discussionmentioning

confidence: 99%

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Continuing Cardiopulmonary Symptoms, Disability, and Financial Toxicity 1 Month After Hospitalization for Third‐Wave COVID‐19: Early Results From a US Nationwide Cohort

Iwashyna

Kamphuis

Gundel

et al. 2021

Journal of Hospital Medicine

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BACKGROUND: Patients discharged after COVID-19 report ongoing needs. OBJECTIVES: To measure incident symptoms after COVID-19 hospitalization. DESIGN, SETTING, AND PARTICIPANTS: Preplanned early look at 1-month follow-up surveys from patients hospitalized August 2020 to January 2021 in NHLBI PETAL Network’s Biology and Longitudinal Epidemiology: COVID-19 Observational (BLUE CORAL) study. English- or Spanish-speaking hospitalized adults without substantial pre-COVID-19 disability with a positive molecular test for SARS-CoV-2. RESULTS: Overall, 253 patients were hospitalized for a median of 5 days (interquartile range [IQR], 3-8), and had a median age of 60 years (IQR, 45-68). By race/ethnicity, 136 (53.8%) were non-Hispanic White, 23 (9.1%) were non-Hispanic Black, and 83 (32.8%) were Hispanic. Most (139 [54.9%]) reported a new or worsened cardiopulmonary symptom, and 16% (n = 39) reported new or increased oxygen use; 213 (84.2%) patients reported not feeling fully back to their pre-COVID-19 level of functioning. New limitations in activities of daily living were present in 130 (52.8%) patients. Financial toxicities, including job loss or change (49 [19.8%]), having a loved one take time off (93 [37.8%]), and using up one’s savings (58 [23.2%]), were common. Longer lengths of hospital stay were associated with greater odds of 1-month cardiopulmonary symptoms (adjusted odds ratio [aOR], 1.82 per additional week in the hospital; 95% CI, 1.11-2.98) and new disability (aOR, 2.06; 95% CI, 1.21-3.53). There were not uniform demographic patterns of association. LIMITATIONS: We prioritized patients’ reports of their own incident problems over objective testing. CONCLUSION: Patients who survived COVID-19 in the United States during late 2020/early 2021 still faced new burdens 1 month after hospital discharge.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Continuing Cardiopulmonary Symptoms, Disability, and Financial Toxicity 1 Month After Hospitalization for Third‐Wave COVID‐19: Early Results From a US Nationwide Cohort

Iwashyna

Kamphuis

Gundel

et al. 2021

Journal of Hospital Medicine

View full text Add to dashboard Cite

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“…Intensive Care Syndrome: Promoting Independence and Return to Employment (InS:PIRE) is a 5-week rehabilitation program for ICU survivors. Previous research has described this program ( 4 – 6 ). Participants were invited between 4 and 12 weeks after hospital discharge.…”

Section: Methodsmentioning

confidence: 99%

Medication-related Problems in Intensive Care Unit Survivors: Learning from a Multicenter Program

et al. 2020

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“…Many primary care physicians or referring specialists are unaware that persistent sequelae may relate to critical illness, and have little time to correctly manage the multiple, often complex, aspects of PICS. Close collaboration between intensivists and other doctors or services involved in home care and social welfare [ 46 ] is therefore essential. Indeed, there is a general consensus that the transition from in-hospital to outpatient care could be significantly improved [ 47 ], especially in terms of information sharing [ 48 ].…”

Section: Do Patients Need Follow-up?mentioning

confidence: 99%

Long-term outcomes after critical illness: recent insights

et al. 2021

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Intensive care survivors often experience post-intensive care sequelae, which are frequently gathered together under the term “post-intensive care syndrome” (PICS). The consequences of PICS on quality of life, health-related costs and hospital readmissions are real public health problems. In the present Viewpoint, we summarize current knowledge and gaps in our understanding of PICS and approaches to management.

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Social and economic problems of ICU survivors identified by a structured social welfare consultation

Cited by 34 publications

References 5 publications

Continuing Cardiopulmonary Symptoms, Disability, and Financial Toxicity 1 Month After Hospitalization for Third‐Wave COVID‐19: Early Results From a US Nationwide Cohort

Continuing Cardiopulmonary Symptoms, Disability, and Financial Toxicity 1 Month After Hospitalization for Third‐Wave COVID‐19: Early Results From a US Nationwide Cohort

Medication-related Problems in Intensive Care Unit Survivors: Learning from a Multicenter Program

Long-term outcomes after critical illness: recent insights

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