Implementation of a Follow-Up Program for Intensive Care Unit Survivors
Bibliographic Data
| ID | 15468341 |
|---|---|
| Authors | Marta Villa (0000-0002-7375-9523, University of Milano-Bicocca), Silvia Villa (0000-0001-6055-947X, University of Milano-Bicocca), Simona Vimercati (University of Milano-Bicocca), Mara Andreossi (University of Milano-Bicocca), Fabrizia Mauri (University of Milano-Bicocca), Daniela Ferlicca (University of Milano-Bicocca), Roberto Rona (0000-0003-3907-3074, University of Milano-Bicocca), Giuseppe Foti (0000-0002-8698-2046, University of Milano-Bicocca), Alberto Lucchini (0000-0002-7475-277X, University of Milano-Bicocca, corresponding author) |
| Year | 2021 |
| Volume | 18 |
| Issue | 19 |
| Pages | 10122-10122 |
| Publication date | 2021-09-26 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph181910122 |
| OpenAlex | W3202096748 |
| Language | EN |
| References cited | 46 |
In Intensive Care Unit (ICU) survivors, critical illness has an impact on an individual’s long-term health status and quality of life. Adults who have recovered from intensive care management could develop muscle weakness, neurocognitive impairment, difficulties in managing activities of daily living and to returning to work, and psychological problems such as depression and anxiety. A prospective, observational study was designed. Data were collected from January to December 2018 from a structured follow-up program, at 3 time points after ICU discharge: at seven days, a visit in the general ward, a phone interview at three months and an ambulatory visit at six months. A total of 95 patients were enrolled, 36% female, with a median age of 65 (55–73) years and a median ICU length of stay of 13 (8–20) days. At the seven days follow-up, patients who had a positive Hospital Anxiety and Depression Scale showed a significantly longer time of intubation (p = 0.048) and length of ICU stay (p = 0.023). At three months, we observed a significant relationship between a positive Hospital Anxiety and Depression Scale and a median value of EuroQol-5D (p = 0.048). At six months, we observed that patients who had a positive Post-Traumatic Symptom Scale were significantly younger than the other group. Findings from the present study suggest that a longer time of intubation and length of ICU stay are associated with a higher level of anxiety and depression immediately after ICU discharge. Follow-up programs are recommended to assess and rehabilitate cognitive function at ICU discharge
Intensive care medicine · Intensive care unit · Medical emergency · Unit (ring theory · Family and Patient Care in Intensive Care Units · Intensive Care Unit Cognitive Disorders · Medicine · Psychology · Respiratory Support and Mechanisms
| Highly cited | No |
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