重症监护幸存者的健康问题和参与研究的意愿:多中心调查

IF 1.4 4区 医学 Q3 CRITICAL CARE MEDICINE Critical Care and Resuscitation Pub Date : 2024-06-01 DOI:10.1016/j.ccrj.2024.04.001
Reyas Aboobacker Kaniyamparambil MBBS FCICM , Charlotte Goldsmith MBBS , Nicolas Demasi MBBS , Brad Wibrow MBBS FCICM , Prakkash ParangiAnanthan MBBS FCICM , Adrian Regli MBBS PhD , Matt Anstey MBBS FCICM , Susan Pellicano RN , Anne Marie Palermo RN , Sarah Van Der Laan MBBS , Edward Litton MBBS PhD
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引用次数: 0

摘要

目的描述在重症监护病房(ICU)接受治疗的危重症幸存者所报告的健康问题的相对重要性、他们对实现康复所需时间的估计以及他们所报告的随机临床试验参与意愿。干预措施调查在重症监护室内进行,以口头方式进行。主要结果测量根据消费者的意见,对八种与重症监护室幸存者相关的健康问题(需要持续护理的残疾、住院时间延长、反复住院、活动能力受损、疼痛、情绪低落、无法回家和死亡)进行数字评级。0表示不担心,10表示极度担心。结果 在 584 名符合条件的参与者中,286 人(49.0%)的平均年龄为 62.3 岁(标准差(SD)为 14.8),178 人(62.2%)为男性。接受调查时,重症监护室住院时间的中位数为 4 天(四分位数间距 (IQR) 3-7)。受访者对所有健康结果的担忧程度都很高,其中得分最高的中位数是存活率,严重残疾和需要持续护理的得分是 8(IQR 3-10),永远不能回家需要辅助生活或养老院的得分是 8(IQR 1-10)。预计康复时间的中位数为 23 天(IQR 10-33)。受访者对健康的担忧程度较高,需要护理的严重残疾和不能回家的担忧程度最高。受访者预计康复时间相对较短。
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Health concerns of intensive care survivors and research participation willingness: A multicentre survey

Objective

To describe the relative importance of health concerns reported by survivors of critical illness treated in the intensive care unit (ICU), their estimate of time to achieve recovery, and their reported randomised clinical trial participation willingness.

Design

A multicentre survey.

Setting

Six Australian ICUs.

Participants

Adult patients who had received mechanical ventilation, vasopressor support or renal replacement therapy for more than 24 h were likely to be discharged from ICU within 24 h.

Interventions

Survey administration was verbal and occurred in the ICU.

Main outcome measures

A numeric rating of eight ICU survivor-related health concerns developed with consumer input (disability requiring ongoing care, prolonged hospitalisation, repeated hospitalisation, impaired activity level, pain, low mood, inability to return home, and dying). Zero indicated no concern and ten extreme concern. Respondents were also asked to estimate their expected recovery time and their willingness to participate in a randomised clinical trial.

Results

Of 584 eligible participants, 286 (49.0%) respondents had a mean age of 62.3 years (standard deviation (SD) 14.8) and 178 (62.2%) were male. The median ICU length of stay at the time of survey was 4 days (interquartile range (IQR) 3–7). Respondents reported high levels of concern for all health outcomes with the highest median scores being for survival with severe disability and requirement for ongoing care scoring 8 (IQR 3–10), and never being able to return home needing assisted living or a nursing home scoring 8 (IQR 1–10). The median expected recovery time was 23 days (IQR 10–33). Higher concerns were associated with an increased likelihood of trial participation willingness.

Conclusion

Survivors reported high and varied health concerns of which severe disability requiring care and inability to return home were the highest. Respondents anticipated a relatively short recovery.

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来源期刊
Critical Care and Resuscitation
Critical Care and Resuscitation CRITICAL CARE MEDICINE-
CiteScore
7.70
自引率
3.40%
发文量
44
审稿时长
>12 weeks
期刊介绍: ritical Care and Resuscitation (CC&R) is the official scientific journal of the College of Intensive Care Medicine (CICM). The Journal is a quarterly publication (ISSN 1441-2772) with original articles of scientific and clinical interest in the specialities of Critical Care, Intensive Care, Anaesthesia, Emergency Medicine and related disciplines. The Journal is received by all Fellows and trainees, along with an increasing number of subscribers from around the world. The CC&R Journal currently has an impact factor of 3.3, placing it in 8th position in world critical care journals and in first position in the world outside the USA and Europe.
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