Health-related Quality of Life and Participation After Inpatient Rehabilitation of Sepsis Survivors with Severe Sequelae: a Cohort Study

Overview

Journal J Rehabil Med

Specialty Rehabilitation Medicine

Date 2024 Jul 3

PMID 38956963

Authors

Ulf Bodechtel

Thea Koch

Lars Heubner

Peter Spieth

Ines Rossler

Jan Mehrholz

Affiliations

Soon will be listed here.

Abstract

Objective: To describe health-related quality of life and participation after rehabilitation of severely affected sepsis survivors.

Design: Cohort study.

Subjects/patients: Patients with severe sequelae after sepsis treated in a multidisciplinary rehabilitation pathway were included.

Methods: Patient characteristics at the time of diagnosis, and the outcome 3 months after discharge from rehabilitation are described. At that time, health-related quality of life, social participation, and the rate of living at home were measured.

Results: Of the 498 patients enrolled, 100 severely impaired patients were transferred for a multidisciplinary rehabilitation approach. Fifty-five of them were followed up at 3 months. Descriptive and inference statistics showed that 69% were living at home with or without care. Health-related quality of life and participation scores were 0.64 ± 0.32 for the EQ-5D utility index and 54.98 ± 24.97 for the Reintegration of Normal Living Index. A multivariate regression model explaining health-related quality of life at 3 months included age, lower limb strength, and walking ability during rehabilitation (r2 = 0.5511). Participation at 3 months was explained by age, body mass index, lower limb strength, and duration of tracheal intubation (r2 = 0.6229).

Conclusion: Patients who have experienced serious sepsis with severe sequelae can achieve a moderate level of quality of life and participation within a multidisciplinary pathway.

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