Prediction of Post-ICU Impairments-Is It Possible?
- PMID: 38240513
- PMCID: PMC11285003
- DOI: 10.1097/CCM.0000000000006082
Prediction of Post-ICU Impairments-Is It Possible?
Abstract
Mr Thompson is a 58-year-old male, admitted to the intensive care unit with severe community acquired pneumonia following an overseas holiday. He has acute respiratory failure, requiring mechanical ventilation and haemodynamic supports. Prior to his ICU admission he worked in a corporate job, lived with his wife, was otherwise fit and healthy, and enjoyed cycling 10km to and from work. His ICU admission extended for three weeks, and he stayed in hospital for a further two weeks, before discharging. On return home, he is only able to walk 200m. He has lost his vitality. He is tearful, anxious, and depressed about his health state. His wife is finding it difficult to help him. They are unsure of where to get support in the community, whether he will be able to return to work, and what to expect for his recovery.
Conflict of interest statement
Dr. Ferrante’s institution received funding from the National Institutes of Health (NIH); she received support for article research from the NIH; and she is supported by the Yale Claude D. Pepper Older Americans Independence Center (P30 AG021342). Dr. Haines has disclosed that she does not have any potential conflicts of interest.
Comment on
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Prediction of Long-Term Physical, Mental, and Cognitive Problems Following Critical Illness: Development and External Validation of the PROSPECT Prediction Model.Crit Care Med. 2024 Feb 1;52(2):200-209. doi: 10.1097/CCM.0000000000006073. Epub 2023 Dec 15. Crit Care Med. 2024. PMID: 38099732 Free PMC article.
References
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- Herridge MS, Chu LM, Matte A, Tomlinson G, et al. The RECOVER Program: Disability Risk Groups and 1-Year Outcome after 7 or More Days of Mechanical Ventilation. Am J Respir Crit Care Med 2016; 194(7):831–844 - PubMed
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