Show simple item record

dc.contributor.authorHaas, Jaqueline Sangiogopt_BR
dc.contributor.authorTeixeira, Cassianopt_BR
dc.contributor.authorCabral, Cláudia da Rochapt_BR
dc.contributor.authorFleig, Alessandra Hofstadler Deiquespt_BR
dc.contributor.authorFreitas, Ana Paula da Rochapt_BR
dc.contributor.authorTreptow, Erika Cristinept_BR
dc.contributor.authorRizzotto, Márcia Inês Boffpt_BR
dc.contributor.authorMachado, André Sant'Anapt_BR
dc.contributor.authorBalzano, Patrícia de Campospt_BR
dc.contributor.authorHetzel, Marcio Pereirapt_BR
dc.contributor.authorDallegrave, Danielapt_BR
dc.contributor.authorOliveira, Roselaine Pinheiro dept_BR
dc.contributor.authorSavi, Augustopt_BR
dc.contributor.authorVieira, Silvia Regina Riospt_BR
dc.date.accessioned2015-02-12T02:15:43Zpt_BR
dc.date.issued2013pt_BR
dc.identifier.issn1471-2253pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/110058pt_BR
dc.description.abstractBackground: Studies suggest that in patients admitted to intensive care units (ICU), physical functional status (PFS) improves over time, but does not return to the same level as before ICU admission. The goal of this study was to assess physical functional status two years after discharge from an ICU and to determine factors influencing physical status in this population. Methods: The study reviewed all patients admitted to two non-trauma ICUs during a one-year period and included patients with age ≥ 18 yrs, ICU stay ≥ 24 h, and who were alive 24 months after ICU discharge. To assess PFS, Karnofsky Performance Status Scale scores and Lawton-Instrumental Activities of Daily Living (IADL) scores at ICU admission (K-ICU and L-ICU) were compared to the scores at the end of 24 months (K-24mo and L-24mo). Data at 24 months were obtained through telephone interviews. Results: A total of 1,216 patients were eligible for the study. Twenty-four months after ICU discharge, 499 (41.6%) were alive, agreed to answer the interview, and had all hospital data available. PFS (K-ICU: 86.6 ± 13.8 vs. K-24mo: 77.1 ± 19.6, p < 0.001) and IADL (L-ICU: 27.0 ± 11.7 vs. L-24mo: 22.5 ± 11.5, p < 0.001) declined in patients with medical and unplanned surgical admissions. Most strikingly, the level of dependency increased in neurological patients (K-ICU: 86 ± 12 vs. K-24mo: 64 ± 21, relative risk [RR] 2.6, 95% CI, 1.8–3.6, p < 0.001) and trauma patients (K-ICU: 99 ± 2 vs. K-24mo: 83 ± 21, RR 2.7, 95% CI, 1.6–4.6, p < 0.001). The largest reduction in the ability to perform ADL occurred in neurological patients (L-ICU: 27 ± 7 vs. L-24mo: 15 ± 12, RR 3.3, 95% CI, 2.3–4.6 p < 0.001), trauma patients (L-ICU: 32 ± 0 vs. L-24mo: 25 ± 11, RR 2.8, 95% CI, 1.5–5.1, p < 0.001), patients aged ≥ 65 years (RR 1.4, 95% CI, 1.07–1.86, p = 0.01) and those who received mechanical ventilation for ≥ 8 days (RR 1.48, 95% CI, 1.02–2.15, p = 0.03). Conclusions: Twenty-four months after ICU discharge, PFS was significantly poorer in patients with neurological injury, trauma, age ≥ 65 tears, and mechanical ventilation ≥ 8 days. Future studies should focus on the relationship between PFS and health-related quality of life in this population.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofBMC anesthesiology. London. Vol. 13 (Jun. 2013), 11, 9 p.pt_BR
dc.rightsOpen Accessen
dc.subjectActivities of Daily Livingen
dc.subjectAtividades cotidianaspt_BR
dc.subjectPhysical Functional Statusen
dc.subjectUnidades de terapia intensivapt_BR
dc.subjectIntensive Care Uniten
dc.subjectAssistência de longa duraçãopt_BR
dc.subjectLong-term Careen
dc.subjectMortalidadept_BR
dc.subjectPrognósticopt_BR
dc.subjectMortalityen
dc.subjectPrognosisen
dc.subjectQualidade de vidapt_BR
dc.subjectHealth-related Quality of Lifeen
dc.titleFactors influencing physical functional status in intensive care unit survivors two years after dischargept_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb000898497pt_BR
dc.type.originEstrangeiropt_BR


Files in this item

Thumbnail
   

This item is licensed under a Creative Commons License

Show simple item record