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Characteristics and Outcomes of Intensive Care Unit Survivors: Experience of a Multidisciplinary Outpatient Clinic in a Teaching Hospital

OBJECTIVES: To describe the experience of an outpatient clinic with the multidisciplinary evaluation of intensive care unit survivors and to analyze their social, psychological, and physical characteristics in a low-income population and a developing country. METHODS: Retrospective cohort study. Adu...

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Autores principales: Duarte, Péricles A.D., Costa, Jaquilene Barreto, Duarte, Silvana Trilo, Taba, Sheila, Lordani, Claudia Regina Felicetti, Osaku, Erica Fernanda, Costa, Claudia Rejane Lima Macedo, Miglioranza, Dalas Cristina, Gund, Daniela Prochnow, Jorge, Amaury Cesar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738566/
https://www.ncbi.nlm.nih.gov/pubmed/29319723
http://dx.doi.org/10.6061/clinics/2017(12)08
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author Duarte, Péricles A.D.
Costa, Jaquilene Barreto
Duarte, Silvana Trilo
Taba, Sheila
Lordani, Claudia Regina Felicetti
Osaku, Erica Fernanda
Costa, Claudia Rejane Lima Macedo
Miglioranza, Dalas Cristina
Gund, Daniela Prochnow
Jorge, Amaury Cesar
author_facet Duarte, Péricles A.D.
Costa, Jaquilene Barreto
Duarte, Silvana Trilo
Taba, Sheila
Lordani, Claudia Regina Felicetti
Osaku, Erica Fernanda
Costa, Claudia Rejane Lima Macedo
Miglioranza, Dalas Cristina
Gund, Daniela Prochnow
Jorge, Amaury Cesar
author_sort Duarte, Péricles A.D.
collection PubMed
description OBJECTIVES: To describe the experience of an outpatient clinic with the multidisciplinary evaluation of intensive care unit survivors and to analyze their social, psychological, and physical characteristics in a low-income population and a developing country. METHODS: Retrospective cohort study. Adult survivors from a general intensive care unit were evaluated three months after discharge in a post-intensive care unit outpatient multidisciplinary clinic over a period of 6 years (2008-2014) in a University Hospital in southern Brazil. RESULTS: A total of 688 out of 1945 intensive care unit survivors received care at the clinic. Of these, 45.2% had psychological disorders (particularly depression), 49.0% had respiratory impairments (abnormal spirometry), and 24.6% had moderate to intense dyspnea during daily life activities. Patients experienced weight loss during hospitalization (mean=11.7%) but good recovery after discharge (mean gain=9.1%), and 94.6% were receiving nutrition orally. One-third of patients showed a reduction of peripheral muscular strength, and 5.7% had moderate to severe tetraparesis or tetraplegia. There was a significant impairment in quality of life (SF-36), particularly in the physical and emotional aspects and in functional capacity. The economic impacts on the affected families, which were mostly low-income families, were considerable. Most patients did not have full access to rehabilitation services, even though half of the families were receiving financial support from the government. CONCLUSIONS: A significant number of intensive care unit survivors evaluated 3 months after discharge had psychological, respiratory, motor, and socioeconomic problems; these findings highlight that strategies aimed to assist critically ill patients should be extended to the post-hospitalization period and that this problem is particularly important in low-income populations.
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spelling pubmed-57385662017-12-22 Characteristics and Outcomes of Intensive Care Unit Survivors: Experience of a Multidisciplinary Outpatient Clinic in a Teaching Hospital Duarte, Péricles A.D. Costa, Jaquilene Barreto Duarte, Silvana Trilo Taba, Sheila Lordani, Claudia Regina Felicetti Osaku, Erica Fernanda Costa, Claudia Rejane Lima Macedo Miglioranza, Dalas Cristina Gund, Daniela Prochnow Jorge, Amaury Cesar Clinics (Sao Paulo) Clinical Science OBJECTIVES: To describe the experience of an outpatient clinic with the multidisciplinary evaluation of intensive care unit survivors and to analyze their social, psychological, and physical characteristics in a low-income population and a developing country. METHODS: Retrospective cohort study. Adult survivors from a general intensive care unit were evaluated three months after discharge in a post-intensive care unit outpatient multidisciplinary clinic over a period of 6 years (2008-2014) in a University Hospital in southern Brazil. RESULTS: A total of 688 out of 1945 intensive care unit survivors received care at the clinic. Of these, 45.2% had psychological disorders (particularly depression), 49.0% had respiratory impairments (abnormal spirometry), and 24.6% had moderate to intense dyspnea during daily life activities. Patients experienced weight loss during hospitalization (mean=11.7%) but good recovery after discharge (mean gain=9.1%), and 94.6% were receiving nutrition orally. One-third of patients showed a reduction of peripheral muscular strength, and 5.7% had moderate to severe tetraparesis or tetraplegia. There was a significant impairment in quality of life (SF-36), particularly in the physical and emotional aspects and in functional capacity. The economic impacts on the affected families, which were mostly low-income families, were considerable. Most patients did not have full access to rehabilitation services, even though half of the families were receiving financial support from the government. CONCLUSIONS: A significant number of intensive care unit survivors evaluated 3 months after discharge had psychological, respiratory, motor, and socioeconomic problems; these findings highlight that strategies aimed to assist critically ill patients should be extended to the post-hospitalization period and that this problem is particularly important in low-income populations. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2017-12 2017-12 /pmc/articles/PMC5738566/ /pubmed/29319723 http://dx.doi.org/10.6061/clinics/2017(12)08 Text en Copyright © 2017 CLINICS http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.
spellingShingle Clinical Science
Duarte, Péricles A.D.
Costa, Jaquilene Barreto
Duarte, Silvana Trilo
Taba, Sheila
Lordani, Claudia Regina Felicetti
Osaku, Erica Fernanda
Costa, Claudia Rejane Lima Macedo
Miglioranza, Dalas Cristina
Gund, Daniela Prochnow
Jorge, Amaury Cesar
Characteristics and Outcomes of Intensive Care Unit Survivors: Experience of a Multidisciplinary Outpatient Clinic in a Teaching Hospital
title Characteristics and Outcomes of Intensive Care Unit Survivors: Experience of a Multidisciplinary Outpatient Clinic in a Teaching Hospital
title_full Characteristics and Outcomes of Intensive Care Unit Survivors: Experience of a Multidisciplinary Outpatient Clinic in a Teaching Hospital
title_fullStr Characteristics and Outcomes of Intensive Care Unit Survivors: Experience of a Multidisciplinary Outpatient Clinic in a Teaching Hospital
title_full_unstemmed Characteristics and Outcomes of Intensive Care Unit Survivors: Experience of a Multidisciplinary Outpatient Clinic in a Teaching Hospital
title_short Characteristics and Outcomes of Intensive Care Unit Survivors: Experience of a Multidisciplinary Outpatient Clinic in a Teaching Hospital
title_sort characteristics and outcomes of intensive care unit survivors: experience of a multidisciplinary outpatient clinic in a teaching hospital
topic Clinical Science
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738566/
https://www.ncbi.nlm.nih.gov/pubmed/29319723
http://dx.doi.org/10.6061/clinics/2017(12)08
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