Bein, Thomas and Weber-Carstens, Steffen and Apfelbacher, Christian (2018) Long-term outcome after the acute respiratory distress syndrome: different from general critical illness? CURRENT OPINION IN CRITICAL CARE, 24 (1). pp. 35-40. ISSN 1070-5295, 1531-7072
Full text not available from this repository. (Request a copy)Abstract
Purpose of reviewTo review the current research data on long-term outcome and health-related quality of life in survivors of the acute respiratory distress syndrome (ARDS) and to compare these findings with those from non-ARDS patients surviving critical illness.Recent findingsBetween 6 months and 2 years after discharge from ICU, survivors of ARDS present with substantial impairments of the levels of body function (muscle strength, walking capacity and/or physical activity (physical SF-36 score). In contrast to non-ARDS patients from surgical ICUs, a standardized intensified physical therapy during early course of illness in ARDS patients could not show an improvement of long-term physical function performance. Furthermore, a substantial part of further ARDS patients suffer from depression (26-33%), anxiety (38-44%) or posttraumatic stress disorder (22-24%). In general, the level of functional autonomy and daily life activities was reduced, and in one study, 6 months after ICU-discharge this level was significantly lower in ARDS patients compared with non-ARDS patients. In a recent study, 44% of ARDS survivors were jobless 1 year after critical illness, whereas half of previously employed patients returned to work within 4 months after hospital discharge. General health-related quality of life was significantly reduced compared with a matched population in all studies.SummarySurviving ARDS is associated with a long-term substantial reduction in health-related quality of life and such a reduction does not differ from findings in patients surviving other critical illness. In further research, a special attention should be paid to prevention measures of the post intensive care syndrome' as well as to patient important domains, which might better explain the patient's and families' demands.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | QUALITY-OF-LIFE; POSTTRAUMATIC-STRESS-DISORDER; RANDOMIZED CONTROLLED-TRIAL; INTENSIVE-CARE-UNIT; SYNDROME SURVIVORS; SYNDROME ARDS; FAILURE; SYMPTOMS; RETURN; WORK; acute respiratory distress syndrome; health-related quality of life; joblessness; muscle weakness; outcome; posttraumatic stress disorder |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie Medicine > Institut für Epidemiologie und Präventivmedizin |
| Depositing User: | Petra Gürster |
| Date Deposited: | 25 Jun 2020 10:06 |
| Last Modified: | 25 Jun 2020 10:06 |
| URI: | https://pred.uni-regensburg.de/id/eprint/15068 |
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