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Implementation of a Follow-Up Program for Intensive Care Unit Survivors

Author

Listed:
  • Marta Villa

    (General Intensive Care Unit, Emergency Department—ASST Monza—San Gerardo Hospital, University of Milano-Bicocca, Via Pergolesi 33, 20900 Monza, Italy)

  • Silvia Villa

    (General Intensive Care Unit, Emergency Department—ASST Monza—San Gerardo Hospital, University of Milano-Bicocca, Via Pergolesi 33, 20900 Monza, Italy)

  • Simona Vimercati

    (General Intensive Care Unit, Emergency Department—ASST Monza—San Gerardo Hospital, University of Milano-Bicocca, Via Pergolesi 33, 20900 Monza, Italy)

  • Mara Andreossi

    (General Intensive Care Unit, Emergency Department—ASST Monza—San Gerardo Hospital, University of Milano-Bicocca, Via Pergolesi 33, 20900 Monza, Italy)

  • Fabrizia Mauri

    (General Intensive Care Unit, Emergency Department—ASST Monza—San Gerardo Hospital, University of Milano-Bicocca, Via Pergolesi 33, 20900 Monza, Italy)

  • Daniela Ferlicca

    (General Intensive Care Unit, Emergency Department—ASST Monza—San Gerardo Hospital, University of Milano-Bicocca, Via Pergolesi 33, 20900 Monza, Italy)

  • Roberto Rona

    (General Intensive Care Unit, Emergency Department—ASST Monza—San Gerardo Hospital, University of Milano-Bicocca, Via Pergolesi 33, 20900 Monza, Italy)

  • Giuseppe Foti

    (General Intensive Care Unit, Emergency Department—ASST Monza—San Gerardo Hospital, University of Milano-Bicocca, Via Pergolesi 33, 20900 Monza, Italy)

  • Alberto Lucchini

    (General Intensive Care Unit, Emergency Department—ASST Monza—San Gerardo Hospital, University of Milano-Bicocca, Via Pergolesi 33, 20900 Monza, Italy)

Abstract

In Intensive Care Unit (ICU) survivors, critical illness has an impact on an individual’s long-term health status and quality of life. Adults who have recovered from intensive care management could develop muscle weakness, neurocognitive impairment, difficulties in managing activities of daily living and to returning to work, and psychological problems such as depression and anxiety. A prospective, observational study was designed. Data were collected from January to December 2018 from a structured follow-up program, at 3 time points after ICU discharge: at seven days, a visit in the general ward, a phone interview at three months and an ambulatory visit at six months. A total of 95 patients were enrolled, 36% female, with a median age of 65 (55–73) years and a median ICU length of stay of 13 (8–20) days. At the seven days follow-up, patients who had a positive Hospital Anxiety and Depression Scale showed a significantly longer time of intubation ( p = 0.048) and length of ICU stay ( p = 0.023). At three months, we observed a significant relationship between a positive Hospital Anxiety and Depression Scale and a median value of EuroQol-5D ( p = 0.048). At six months, we observed that patients who had a positive Post-Traumatic Symptom Scale were significantly younger than the other group. Findings from the present study suggest that a longer time of intubation and length of ICU stay are associated with a higher level of anxiety and depression immediately after ICU discharge. Follow-up programs are recommended to assess and rehabilitate cognitive function at ICU discharge.

Suggested Citation

  • Marta Villa & Silvia Villa & Simona Vimercati & Mara Andreossi & Fabrizia Mauri & Daniela Ferlicca & Roberto Rona & Giuseppe Foti & Alberto Lucchini, 2021. "Implementation of a Follow-Up Program for Intensive Care Unit Survivors," IJERPH, MDPI, vol. 18(19), pages 1-11, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10122-:d:643764
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    References listed on IDEAS

    as
    1. Cindy E. Woods & Rikki Jones & Eilish O’Shea & Elizabeth Grist & John Wiggers & Kim Usher, 2019. "Nurse‐led postdischarge telephone follow‐up calls: A mixed study systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(19-20), pages 3386-3399, October.
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