TY  - JOUR
AU  - Haines, KJ
AU  - Berney, S
AU  - Warrillow, S
AU  - Denehy, L
Y2  - 2020/12/18
Y1  - 2018/02/05
SN  - 2052-0492
UR  - http://hdl.handle.net/11343/255810
AB  - Background: Almost all data on 5-year outcomes for critical care survivors come from North America and Europe. The aim of this study was to investigate long-term mortality, physical function, psychological outcomes and health-related quality of life in a mixed intensive care unit cohort in Australia. Methods: This longitudinal study evaluated 4- to 5-year outcomes. Physical function (six-minute walk test) and health-related quality of life (Short Form 36 Version 2) were compared to 1-year outcomes and population norms. New psychological data (Center for Epidemiological Studies-Depression, Impact of Events Scale) was collected at follow-up. Results: Of the 150 participants, 66 (44%) patients were deceased by follow-up. Fifty-six survivors were included with a mean (SD) age of 64 (14.2). Survivors' mean (SD) six-minute walk distance increased between 1 and 4 to 5 years (465.8 m (148.9) vs. 507.5 m (118.2)) (mean difference = - 24.5 m, CI - 58.3, 9.2, p = 0.15). Depressive symptoms were low: median (IQR) score of 7.0 (1.0-15.0). The mean level of post-traumatic stress symptoms was low-median (IQR) score of 1.0 (0-11.0)-with only 9 (16%) above the threshold for potentially disordered symptoms. Short-Form 36 Physical and Mental Component Scores did not change between 1 and 4 to 5 years (46.4 (7.9) vs. 46.7 (8.1) and 48.8 (13) vs. 48.8 (11.1)) and were within a standard deviation of normal. Conclusions: Outcomes of critical illness are not uniform across nations. Mortality was increased in this cohort; however, survivors achieved a high level of recovery for physical function and health-related quality of life with low psychological morbidity at follow-up. Trial registration: The trial was registered with the Australian New Zealand Clinical Trials Registry ACTRN12605000776606.
LA  - English
PB  - BMC
T1  - Long-term recovery following critical illness in an Australian cohort
DO  - 10.1186/s40560-018-0276-x
IS  - Journal of Intensive Care
VL  - 6
IS  - 1
L1  - /bitstream/handle/11343/255810/PMC5800039.pdf?sequence=1&isAllowed=y
ER  -