干旱区生态环境知识资源中心(Arid): Early Post-Intensive Care Syndrome among Older Adult Sepsis Survivors Receiving Home Care

Arid

DOI	10.1111/jgs.15691
	Early Post-Intensive Care Syndrome among Older Adult Sepsis Survivors Receiving Home Care
	Riegel, Barbara 1,4; Huang, Liming 1; Mikkelsen, Mark E.2; Kutney-Lee, Ann 1,3; Hanlon, Alexandra L.1,4; Murtaugh, Christopher M.5; Bowles, Kathryn H.1,5
通讯作者	Riegel, Barbara
来源期刊	JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
ISSN	0002-8614
EISSN	1532-5415
出版年	2019
卷号	67 期号:3 页码:520-526
英文摘要	BACKGROUND/OBJECTIVESNew or worsened disabilities in functional, cognitive, or mental health following an intensive care unit (ICU) stay are referred to as post-intensive care syndrome (PICS). PICS has not been described in older adults receiving home care. Our aim was to examine the relationship between length of ICU stay and PICS among older adults receiving home care. We expected that patients in the ICU for 3 days or longer would demonstrate significantly more disability in all three domains on follow-up than those not in the ICU. A secondary aim was to identify patient characteristics increasing the odds of disability. DESIGNRetrospective cohort study. SETTINGHospitalization for sepsis in the United States. PARTICIPANTSA total of 21 520 Medicare patients receiving home care and reassessed a median of 1 day (interquartile range 1-2 d) after hospital discharge. MEASUREMENTSPICS was defined as a decline or worsening in one or more of 16 indicators tested before and after hospitalization using OASIS (Home Health Outcome and Assessment Information Set) and Medicare claims data. RESULTSThe sample was predominantly female and white. All had sepsis, and most (81.8%) had severe sepsis. In adjusted models, an ICU stay of 3 days or longer, compared with no ICU stay, increased the odds of physical disability. Overall, the declines were modest and found in specific activities of daily living (16% for feeding and lower body dressing to 26% for oral medicine management). No changes were identified in cognition or mental health. Significant determinants of new or worsened physical disabilities were sepsis severity, older age, depression, frailty, and dementia. CONCLUSIONOlder adults receiving home care who develop sepsis and are in an ICU for 3 days or longer are likely to develop new or worsened physical disabilities. Whether these disabilities remain after the early postdischarge phase requires further study. J Am Geriatr Soc 67:520-526, 2019.
英文关键词	critical care activities of daily living cognitive dysfunction mental health sepsis home care services post-intensive care syndrome
类型	Article
语种	英语
国家	USA
开放获取类型	Green Accepted
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000461567700017
WOS关键词	LONG-TERM OUTCOMES ; CRITICAL ILLNESS ; INSTRUMENTAL ACTIVITIES ; FUNCTIONAL DISABILITY ; BRAIN-ICU ; DEPRESSION ; VALIDITY ; HEALTH ; SYMPTOMS ; RECOVERY
WOS类目	Geriatrics & Gerontology ; Gerontology
WOS研究方向	Geriatrics & Gerontology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/217356
作者单位	1.Univ Penn, Sch Nursing, 418 Curie Blvd, Philadelphia, PA 19104 USA; 2.Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA; 3.Corporal Michael J Crescenz Vet Affairs Med Ctr, Philadelphia, PA USA; 4.NewCourtland Ctr Transit & Hlth, Philadelphia, PA USA; 5.Visiting Nurse Serv New York, New York, NY USA
推荐引用方式 GB/T 7714	Riegel, Barbara,Huang, Liming,Mikkelsen, Mark E.,et al. Early Post-Intensive Care Syndrome among Older Adult Sepsis Survivors Receiving Home Care[J],2019,67(3):520-526.
APA	Riegel, Barbara.,Huang, Liming.,Mikkelsen, Mark E..,Kutney-Lee, Ann.,Hanlon, Alexandra L..,...&Bowles, Kathryn H..(2019).Early Post-Intensive Care Syndrome among Older Adult Sepsis Survivors Receiving Home Care.JOURNAL OF THE AMERICAN GERIATRICS SOCIETY,67(3),520-526.
MLA	Riegel, Barbara,et al."Early Post-Intensive Care Syndrome among Older Adult Sepsis Survivors Receiving Home Care".JOURNAL OF THE AMERICAN GERIATRICS SOCIETY 67.3(2019):520-526.