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Sepsis survivors and caregivers perspectives on post–acute rehabilitation and aftercare in the first year after sepsis in Germany

BACKGROUND: Sepsis survivors often suffer from new morbidities. Current rehabilitation therapies are not tailored to their specific needs. The perspective of sepsis survivors and their caregivers on rehabilitation and aftercare is insufficiently understood. We aimed to assess how sepsis survivors in...

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Autores principales: Born, Sebastian, Matthäus-Krämer, Claudia, Bichmann, Anna, Boltz, Hannah-Sophia, Esch, Marlene, Heydt, Luisa, Sell, Stefan, Streich, Kathleen, Scherag, André, Reinhart, Konrad, Hartog, Christiane S., Fleischmann-Struzek, Carolin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10126403/
https://www.ncbi.nlm.nih.gov/pubmed/37113609
http://dx.doi.org/10.3389/fmed.2023.1137027
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author Born, Sebastian
Matthäus-Krämer, Claudia
Bichmann, Anna
Boltz, Hannah-Sophia
Esch, Marlene
Heydt, Luisa
Sell, Stefan
Streich, Kathleen
Scherag, André
Reinhart, Konrad
Hartog, Christiane S.
Fleischmann-Struzek, Carolin
author_facet Born, Sebastian
Matthäus-Krämer, Claudia
Bichmann, Anna
Boltz, Hannah-Sophia
Esch, Marlene
Heydt, Luisa
Sell, Stefan
Streich, Kathleen
Scherag, André
Reinhart, Konrad
Hartog, Christiane S.
Fleischmann-Struzek, Carolin
author_sort Born, Sebastian
collection PubMed
description BACKGROUND: Sepsis survivors often suffer from new morbidities. Current rehabilitation therapies are not tailored to their specific needs. The perspective of sepsis survivors and their caregivers on rehabilitation and aftercare is insufficiently understood. We aimed to assess how sepsis survivors in Germany rated the suitability, extent and satisfaction with rehabilitation therapies that they underwent in the year following the acute sepsis episode. METHODS: Prospective mixed-methods, multicenter study among a cohort of adult ICU-treated sepsis survivors and their caregivers. Interviews were conducted 6 and 12 months after ICU discharge by telephone and comprised closed as well as open-ended questions. Primary outcomes were the utilization and patient satisfaction with inpatient and outpatient rehabilitation and post-sepsis aftercare in general. Open-ended questions were analyzed according to the principles of content analysis. RESULTS: Foun hundred interviews were performed with 287 patients and/or relatives. At 6 months after sepsis, 85.0% of survivors had applied for and 70.0% had undergone rehabilitation. Among these, 97% received physical therapy, but only a minority reported therapies for specific ailments including pain, weaning from mechanical ventilation, cognitive deficits of fatigue. Survivors were moderately satisfied with the suitability, extent, and overall results of received therapies and perceived deficits in the timeliness, accessibility, and specificity of therapies as well as deficits in the structural support frameworks and patient education. CONCLUSION: From the perspective of survivors who undergo rehabilitation, therapies should already begin in hospital, be more appropriate for their specific ailments and include better patient and caregiver education. The general aftercare and structural support framework should be improved.
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spelling pubmed-101264032023-04-26 Sepsis survivors and caregivers perspectives on post–acute rehabilitation and aftercare in the first year after sepsis in Germany Born, Sebastian Matthäus-Krämer, Claudia Bichmann, Anna Boltz, Hannah-Sophia Esch, Marlene Heydt, Luisa Sell, Stefan Streich, Kathleen Scherag, André Reinhart, Konrad Hartog, Christiane S. Fleischmann-Struzek, Carolin Front Med (Lausanne) Medicine BACKGROUND: Sepsis survivors often suffer from new morbidities. Current rehabilitation therapies are not tailored to their specific needs. The perspective of sepsis survivors and their caregivers on rehabilitation and aftercare is insufficiently understood. We aimed to assess how sepsis survivors in Germany rated the suitability, extent and satisfaction with rehabilitation therapies that they underwent in the year following the acute sepsis episode. METHODS: Prospective mixed-methods, multicenter study among a cohort of adult ICU-treated sepsis survivors and their caregivers. Interviews were conducted 6 and 12 months after ICU discharge by telephone and comprised closed as well as open-ended questions. Primary outcomes were the utilization and patient satisfaction with inpatient and outpatient rehabilitation and post-sepsis aftercare in general. Open-ended questions were analyzed according to the principles of content analysis. RESULTS: Foun hundred interviews were performed with 287 patients and/or relatives. At 6 months after sepsis, 85.0% of survivors had applied for and 70.0% had undergone rehabilitation. Among these, 97% received physical therapy, but only a minority reported therapies for specific ailments including pain, weaning from mechanical ventilation, cognitive deficits of fatigue. Survivors were moderately satisfied with the suitability, extent, and overall results of received therapies and perceived deficits in the timeliness, accessibility, and specificity of therapies as well as deficits in the structural support frameworks and patient education. CONCLUSION: From the perspective of survivors who undergo rehabilitation, therapies should already begin in hospital, be more appropriate for their specific ailments and include better patient and caregiver education. The general aftercare and structural support framework should be improved. Frontiers Media S.A. 2023-04-11 /pmc/articles/PMC10126403/ /pubmed/37113609 http://dx.doi.org/10.3389/fmed.2023.1137027 Text en Copyright © 2023 Born, Matthäus-Krämer, Bichmann, Boltz, Esch, Heydt, Sell, Streich, Scherag, Reinhart, Hartog and Fleischmann-Struzek. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Born, Sebastian
Matthäus-Krämer, Claudia
Bichmann, Anna
Boltz, Hannah-Sophia
Esch, Marlene
Heydt, Luisa
Sell, Stefan
Streich, Kathleen
Scherag, André
Reinhart, Konrad
Hartog, Christiane S.
Fleischmann-Struzek, Carolin
Sepsis survivors and caregivers perspectives on post–acute rehabilitation and aftercare in the first year after sepsis in Germany
title Sepsis survivors and caregivers perspectives on post–acute rehabilitation and aftercare in the first year after sepsis in Germany
title_full Sepsis survivors and caregivers perspectives on post–acute rehabilitation and aftercare in the first year after sepsis in Germany
title_fullStr Sepsis survivors and caregivers perspectives on post–acute rehabilitation and aftercare in the first year after sepsis in Germany
title_full_unstemmed Sepsis survivors and caregivers perspectives on post–acute rehabilitation and aftercare in the first year after sepsis in Germany
title_short Sepsis survivors and caregivers perspectives on post–acute rehabilitation and aftercare in the first year after sepsis in Germany
title_sort sepsis survivors and caregivers perspectives on post–acute rehabilitation and aftercare in the first year after sepsis in germany
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10126403/
https://www.ncbi.nlm.nih.gov/pubmed/37113609
http://dx.doi.org/10.3389/fmed.2023.1137027
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