Physical Function Impairment in Survivors of Critical Illness in an ICU Recovery Clinic

Overview

Journal J Crit Care

Specialty Critical Care

Date 2018 Mar 2

PMID 29494941

Citations 18

Authors

Rita N Bakhru

James F Davidson

Rebecca E Bookstaver

Michael T Kenes

Kristin G Welborn

Peter E Morris

D Clark Files

Affiliations

Soon will be listed here.

Abstract

Purpose: The aims were to 1) determine feasibility of measuring physical function in our ICU Recovery Clinic (RC), 2) determine if physical function was associated with 6-month re-hospitalization and 1-year mortality and 3) compare ICU survivors' physical function to other comorbid populations.

Materials And Methods: We established the Wake Forest ICU RC. Patients were seen in clinic 1month following hospital discharge. Testing included the Short Form-36 questionnaire and Short Physical Performance Battery (SPPB). We related these measures to 6month re-hospitalizations and 1year mortality, and compared patients' functional performance with other comorbid populations.

Results: Thirty-six patients were seen in clinic from July 2014 to June 2015; the median SPPB score was 5 (IQR 5). The median SF-36 physical component summary score was 21.8 (IQR 28.8). Mortality was 14% at 1year. Of those who did not die by 1year, 35% were readmitted to our hospital within 6months of hospital discharge. SPPB scores demonstrated a non-significant trend with both mortality (p=0.06) and readmissions (p=0.09). ICU survivors' SPPB scores were significantly lower than those of other chronically ill populations (p<0.001).

Conclusions: Physical function measurement in a recovery clinic is feasible and may inform subsequent morbidity and mortality.

Citing Articles

An Exploratory Analysis of Sociodemographic Factors Associated With Physical Functional Impairment in ICU Survivors.

Watson M, Sandi M, Bixby J, Perry G, Offner P, Burnham E Crit Care Explor. 2024; 6(6):e1100.

PMID: 38836576 PMC: 11155592. DOI: 10.1097/CCE.0000000000001100.

Development and validation of early prediction models for new-onset functional impairment in patients after being transferred from the ICU.

Xiao Z, Zeng L, Chen S, Wu J, Huang H Sci Rep. 2024; 14(1):11902.

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Effectiveness of massage and range of motion exercises on muscle strength and intensive care unit-acquired weakness in Iranian patients with COVID-19: a randomized parallel-controlled trial.

Zakeri M, Aziz A, Rahiminezhad E, Dehghan M Acute Crit Care. 2023; 39(1):78-90.

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A systematic review and meta-analysis of the clinimetric properties of the core outcome measurement instruments for clinical effectiveness trials of nutritional and metabolic interventions in critical illness (CONCISE).

Davies T, Kelly E, van Gassel R, van de Poll M, Gunst J, Casaer M Crit Care. 2023; 27(1):450.

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Nevarez-Flores A, Chappell K, Morgan V, Neil A J Gen Intern Med. 2023; 38(15):3389-3405.

PMID: 37653208 PMC: 10682357. DOI: 10.1007/s11606-023-08380-4.

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