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    How do Australian ICU survivors fare functionally 6 months after admission?

    Access Status
    Fulltext not available
    Authors
    Dennis, D.
    Hebden-Todd, T.
    Marsh, L.
    Cipriano, L.
    Parsons, Richard
    Date
    2011
    Type
    Journal Article
    
    Metadata
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    Citation
    Dennis, Diane M. and Hebden-Todd, Tracy K. and Marsh, Lisa J. and Cipriano, Lora J. and Parsons, Richard W. 2011. How do Australian ICU survivors fare functionally 6 months after admission? Critical Care and Resuscitation. 13 (1): pp. 9-16.
    Source Title
    Critical Care and Resuscitation
    Additional URLs
    http://search.informit.com.au/documentSummary;dn=772542602484589;res=IELHEA
    ISSN
    1441-2772
    School
    School of Occupational Therapy and Social Work
    URI
    http://hdl.handle.net/20.500.11937/27005
    Collection
    • Curtin Research Publications
    Abstract

    Objectives: To determine the extent to which physical function is restored 6 months after intensive care unit admission, and whether this is associated with short or long ICU length of stay (LOS). Design, setting and participants: We conducted a prospective observational study between April and June 2010. All patients admitted for more than 48 hours to the general ICU at Sir Charles Gairdner Hospital, Perth, Western Australia, were eligible for inclusion. "Short" and "long" ICU LOS were defined as < 8 days and > 8 days, respectively. Six months after ICU admission, an investigator (blinded to baseline data) contacted participants by telephone to administer a follow-up questionnaire based on the Functional Independence Measure (FIM). Outcome measures: The primary measure was FIM score; secondary measures were rehabilitation requirement, readmission rate, and whether or not patients had returned to work and driving.Results: 77 patients consented to take part in the study, and 71 were followed up. Median total FIM score (124) and motor (89) and cognitive (35) subscores suggested high-level functional independence at follow-up. Fifty per cent of patients who were workers at baseline had returned to work, and 76% of drivers had returned to driving at follow-up. Paired t tests of the changes in total FIM and its subscales showed that only the motor subscore showed a significant deterioration (mean change, -3.7; P=0.04). Changes for the total FIM did not appear to be correlated with any demographic or baseline data. Furthermore, there appeared to be no difference in FIM between patients with short or long ICU LOS. Conclusions: Our study showed that patients who survive treatment for life-threatening illness in an Australian ICU for more than 48 hours and are subsequently able to communicate are likely to return to their premorbid functional level (as defined by FIM score within 6 months).

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