Functional status after intensive care: a challenge for rehabilitation professionals to improve outcome.

Abstract:

OBJECTIVE:To examine restrictions in daily functioning from a rehabilitation perspective in patients one year after discharge from the intensive care unit, and to identify prognostic factors for functional status. DESIGN:Cross-sectional design. PATIENTS:Consecutive patients who were admitted to the intensive care unit for more than 48 h (n = 255). METHODS:One year after intensive care, functional status (Sickness Impact Profile) as primary outcome, and Quality of Life (SF-36), anxiety and depression (Hospital Anxiety Depression Scale), and post-traumatic stress disorder (Impact of Events Scale) were evaluated. RESULTS:Fifty-four percent of the patients had restrictions in daily functioning. Walking and social activities were most frequently restricted (30-60% of the patients). Quality of life was lower than the general Dutch population. Symptoms of anxiety and depression were found in 14%, and post-traumatic stress disorder in 18%. Severity of illness at admission and length of stay in the intensive care unit were identified as prognostic factors, although they explained only 10% of functional status. CONCLUSION:The high prevalence of long-lasting restrictions in physical, social and psychological functioning among patients who stayed in the intensive care unit for at least 2 days implies that these patients are a potential target population for rehabilitation medicine. Multidisciplinary therapies need to be developed and evaluated in order to improve outcome.

journal_name

J Rehabil Med

authors

van der Schaaf M,Beelen A,Dongelmans DA,Vroom MB,Nollet F

doi

10.2340/16501977-0333

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

360-6

issue

5

eissn

1650-1977

issn

1651-2081

journal_volume

41

pub_type

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