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
{"title":"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","authors":"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","doi":"10.1016/j.ccrj.2024.04.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>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.</p></div><div><h3>Design</h3><p>A multicentre survey.</p></div><div><h3>Setting</h3><p>Six Australian ICUs.</p></div><div><h3>Participants</h3><p>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.</p></div><div><h3>Interventions</h3><p>Survey administration was verbal and occurred in the ICU.</p></div><div><h3>Main outcome measures</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1441277224000103/pdfft?md5=cee43030dd7e195fb4d9ed4e617f67c7&pid=1-s2.0-S1441277224000103-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Health concerns of intensive care survivors and research participation willingness: A multicentre survey\",\"authors\":\"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\",\"doi\":\"10.1016/j.ccrj.2024.04.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>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.</p></div><div><h3>Design</h3><p>A multicentre survey.</p></div><div><h3>Setting</h3><p>Six Australian ICUs.</p></div><div><h3>Participants</h3><p>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.</p></div><div><h3>Interventions</h3><p>Survey administration was verbal and occurred in the ICU.</p></div><div><h3>Main outcome measures</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>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.</p></div>\",\"PeriodicalId\":49215,\"journal\":{\"name\":\"Critical Care and Resuscitation\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1441277224000103/pdfft?md5=cee43030dd7e195fb4d9ed4e617f67c7&pid=1-s2.0-S1441277224000103-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Critical Care and Resuscitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1441277224000103\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CRITICAL CARE MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Critical Care and Resuscitation","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1441277224000103","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}
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.
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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