Brandstetter, Susanne and Dodoo-Schittko, Frank and Brandl, Magdalena and Blecha, Sebastian and Bein, Thomas and Apfelbacher, Christian (2019) Ambulatory and stationary healthcare use in survivors of ARDS during the first year after discharge from ICU: findings from the DACAPO cohort. ANNALS OF INTENSIVE CARE, 9: 70. ISSN 2110-5820,
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BackgroundFor many survivors of acute respiratory distress syndrome (ARDS), the process from discharge from intensive care unit (ICU) to recovery is long and difficult. However, healthcare use after discharge from ICU has received only little attention by research. This study sets out to investigate the extent of ambulatory and stationary healthcare use among survivors of ARDS in Germany (multicenter DACAPO cohort) and to analyze predictors of stationary healthcare use.ResultsA total of 396 survivors of ARDS provided data at 1year after discharge from ICU. Fifty percent of 1-year survivors were hospitalized for 48days or longer after discharge from ICU, with 10% spending more than six out of 12 months in stationary care. The duration of hospitalization increased significantly by the length of the initial ICU stay. All participants reported at least one outpatient visit (including visits to general practitioners), and 50% contacted four or more different medical specialties within the first year after discharge from ICU.ConclusionsFor most of the patients, the first year after ARDS is characterized by an extensive amount of healthcare utilization, especially with regard to stationary health care. These findings shed light on the substantial morbidity of patients after ARDS and contribute to a better understanding of the situation of patients following discharge from ICU.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | RESPIRATORY-DISTRESS-SYNDROME; QUALITY-OF-LIFE; OUTCOMES; COSTS; SYMPTOMS; PATTERNS; GERMANY; SEPSIS; SCORE; Healthcare use; Ambulatory health care; Stationary health care; Health services research; ARDS; Critical illness; Post-ICU |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie Medicine > Institut für Epidemiologie und Präventivmedizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 06 Apr 2020 11:28 |
| Last Modified: | 06 Apr 2020 11:28 |
| URI: | https://pred.uni-regensburg.de/id/eprint/26833 |
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