Functional Status in Older Intensive Care Unit Survivors

Older ICU survivors are often challenged with clusters of geriatric syndromes and functional decline. The purpose of this study was (a) to assess patterns of geriatric syndromes and functional status from admission to 6 months post discharge and (b) to examine the predictors of longitudinal function...

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Bibliographic Details
Published in:Clinical nursing research 2020-01, Vol.29 (1), p.5-12
Main Authors: Tang, Hsin-Ju, Tang, Hsin-Yi (Jean), Chang, Chia-Ming, Su, Pei-Fang, Chen, Ching-Huey
Format: Article
Language:English
Subjects:
Aged
Body Mass Index
Clinical variables
Cohort analysis
Critical care
Delirium
Disability
Female
Functional impairment
Functional Status
Geriatrics
Hospitalization
Humans
Intensive care
Intensive Care Units
Longitudinal Studies
Male
Mechanical ventilation
Medical research
Mobility
Nursing
Obesity
Older people
Patient Discharge
Pressure ulcers
Prospective Studies
Survivor
Survivors
Ventilation
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Summary:Older ICU survivors are often challenged with clusters of geriatric syndromes and functional decline. The purpose of this study was (a) to assess patterns of geriatric syndromes and functional status from admission to 6 months post discharge and (b) to examine the predictors of longitudinal functional status. This is a prospective cohort study. Demographic information, clinical variables, geriatric syndromes, and functional status were collected longitudinally. A total of 192 medical ICU older adult survivors were included in the analysis. Factors associated with reductions in functional status over 6 months were (a) institutionalized prior to hospitalization, (b) pressure sore before admission, (c) existing delirium, (d) impaired mobility at baseline, (e) increased APACHE II score upon ICU admission, and (f) use of mechanical ventilation during the ICU stay. Importantly, overweight was the only factor that was associated with increased functional level over 6 months.
ISSN:1054-7738
1552-3799
DOI:10.1177/1054773818785860