Impact of mechanical ventilation on quality of life and functional status after ICU discharge: A cross-sectional study

Vesz, Patrini Silveira; Cremonese, Rafael Viégas; Rosa, Régis Goulart; Maccari, Juçara Gasparetto; Teixeira, Cassiano

doi:10.1590/1806-9282.64.01.47

Cited by 7 publications

(6 citation statements)

References 38 publications

(47 reference statements)

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“…drome did not have a job 1 year after being discharged. 10 To stratify these complications, numerous scoring systems exist that evaluate both physical function (objective and subjective) [5][6][7] and emotional recovery (subjective). 5,6,11 Our survey did not recognize complications of the same severity, though our results suggest there may be an initial rehabilitation phase where exercise tolerance is decreased, and that social functioning, mood and behaviors may also be affected.…”

Section: Resultsmentioning

confidence: 99%

“…Patients experience physical limitations due to muscle contracture, heterotopic ossification limiting mobility of large joints, and entrapment neuropathies in addition to generalized muscle atrophy of disuse 9 . Pulmonary function can be affected by linear fibrosis and pleural thickening 9 and many patients have chronic disease processes that require ongoing management 5–9 . Many patients experience mental illness following discharge and may have anxiety, depression, impaired social interaction, or sleep disorders 5 .…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…In human medicine, patients that are mechanically ventilated are expected to experience a prolonged recovery and frequently experience emotional, physical, and financial limitations on their long term QoL. [5][6][7][8][9] This population varies significantly from the veterinary population as human patients are generally older with numerous comorbidities and are ventilated for longer periods of time. [5][6][7][8][9] In veterinary medicine, the decision to ventilate a critically ill patient is a difficult multifactorial decision for owners, and evidence-based education is an important tool to enable clients to make the most appropriate decision for their situation; this includes information on their pet's likelihood of returning to their original QoL.…”

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confidence: 99%

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Quality of life following mechanical ventilation in dogs and cats

Donaldson

Barfield

2020

J Vet Emergen Crit Care

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Background: Mechanical ventilation is frequently performed in small animal critical care medicine with well-documented survival data; quality of life in these patients following discharge from hospital is unknown. Key findings: Owners of patients surviving to discharge following mechanical ventilation were surveyed with an open ended and ranking score questionnaire. Response rate was 57% (27/47). All respondents rated their pet's quality of life prior to the illness necessitating ventilation as good to excellent (8/10-10/10). Perceived recovery periods ranged from 0 days to 6 months (the most common response being 2-3 weeks). Fourteen owners stated that their pets' quality of life was as good or better than previously. Patients with persistent quality of life concerns (n = 3) had been ventilated for neurological disease. Four owners reported changed behaviors such as startling easily or being excessively responsive to noise. One cat became deaf and at time of survey had not regained hearing. Commonly reported problems included decreased exercise tolerance (n = 3). All respondents stated that they would ventilate their pet again. Significance: Cats and dogs that are mechanically ventilated appear to recover with minimal adverse effect on their quality of life. Patients ventilated for neurological conditions may be more likely to experience quality of life limitations.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Quality of life following mechanical ventilation in dogs and cats

Donaldson

Barfield

2020

J Vet Emergen Crit Care

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“…Los estudios de esta revisión analizaron otras variables relacionadas con peor calidad de vida del paciente críticamente enfermo después de su egreso de cuidados intensivos: tener una edad mayor de 45 años, peor calidad de vida previa, comorbilidades y haber sufrido una lesión grave tipo trauma 16 . La duración de la ventilación mecánica disminuye el estado físico funcional después del alta de la UCI en los sobrevivientes 21 . Otros factores modificables durante y después de una estancia en la unidad de cuidados intensivos, incluyen las alteraciones del sueño, la depresión y el estrés post-traumático 27 .…”

Section: Discussionunclassified

Calidad de vida y funcionalidad en sobrevivientes de cuidados intensivos: Una revisión exploratoria

Vanegas

Díaz²,

Toro³

et al. 2022

Rev Cuid

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Introducción: La calidad de vida en pacientes críticos que sobreviven al tratamiento en unidades de cuidados intensivos es inferior al de la población general. La condición de salud basal y la severidad de la condición clínica al ingreso a terapia intensiva son factores de riesgo para la calidad de vida y la funcionalidad. Objetivo: Analizar el nivel de conocimiento en la calidad de vida y la funcionalidad de los sobrevivientes de cuidados intensivos. Materiales y métodos: Se realizó una revisión exploratoria en las bases de datos: Scielo, PubMed, Science Direct, ProQuest, Redalyc, Dialnet, OVID, Scopus, publicados entre enero del año 2010 y mayo del año 2020. El estudio se desarrolló según la estructura de la Metodología PRISMA. Se revisaron y analizaron los textos completos que cumplían los criterios de inclusión para la selección final de los artículos. Resultados: De 1814 artículo seleccionados, se eligieron 65 artículos que describen la calidad de vida y la funcionalidad en pacientes después de cuidados intensivos, y finalmente, 16 artículos son incluidos, donde se analizaron las características de los artículos, las características de la población estudiada, y las variables de análisis sobre la evaluación de la calidad de vida y la funcionalidad en los sobrevivientes después cuidados intensivos. Conclusión: Los estudios sobre calidad de vida y funcionalidad en sobrevivientes de cuidados intensivos se realizaron en mayor proporción en Europa en los años 2010 a 2016. Con estudios observacionales prospectivos que correlacionan los factores que determinan la salud mental y física después del egreso de cuidados intensivos. Se aplicaron múltiples escalas siendo las más utilizadas SF-36 y el EQ-5D para evaluar la calidad de vida y del índice de Barthel para determinar el estado de funcionalidad en los egresados de cuidados intensivos. El SF-36 y el índice de Barthel reportaron una afectación en la calidad de vida y en la funcionalidad en la población sobreviviente de cuidados intensivos. Como citar este artículo: Mejia Vanegas Dulfary, Arias Díaz Julia Andrea, Leyton Toro Lleraldyn, Ayala Grajales Katherine Yuliet, Becerra Londoño Angie Manuela, Vallejo Ospina Jorge Iván, Rincón Hurtado Ángela María. Calidad de vida y funcionalidad en sobrevivientes de cuidados intensivos: Una revisión exploratoria. Revista Cuidarte. 2022;13(3):e2269. http://dx.doi.org/10.15649/cuidarte.2269

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Assessment of Respiratory Functions, Activities of Daily Living, and Quality of Life of the Post-mechanical Ventilated Patients

Kaur,

Dhandapani

et al. 2023

Nursing & Midwifery Research Journal

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Background: The fundamental goal of mechanical ventilation is to restore and improve respiratory functions and relieve respiratory distress, thus permitting lungs and airways to heal in acute and chronic respiratory failure conditions. Associated post-mechanical ventilation complications may increase the chance of re-intubation, poor quality of life, hospital stay and hospital costs, and so on. Objective: To assess the respiratory functions, activities of daily living, and quality of life of the post-mechanical ventilated patients. Methods: Using a purposive sampling technique, 72 patients after 24 h of weaning from the ventilator were enrolled in the study. Their socio-demographic profile, respiratory functions, activities of daily living, and quality of life were assessed using validated tools. Results: The mean respiratory rate per minute and oxygen saturation were 21.69 ± 4.10 and 93.58 ± 3.73, respectively. A total of 58.9% of the patients had dyspnea, 18.1% had abnormal breathing sound, 22.3% were using accessory muscles during breathing, 20.9% had pain during breathing, and 18.1% had cough with sputum production after extubation. Three fourth of the patients had complete dependency (75%) to perform activities of daily living. More than half (59.8%) of the patients had good quality of life scores as per the SF-36 item scale. Conclusion: There is a need to plan nursing interventions for patients in order to decrease post-mechanical ventilation complications.

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Impact of mechanical ventilation on quality of life and functional status after ICU discharge: A cross-sectional study

Abstract: Impact of mechanIcal ventIlatIon on qualIty of lIfe and functIonal status after Icu dIscharge: a cross-sectIonal study rev assoc MeD Bras 2018; 64 (1)

Cited by 7 publications

References 38 publications

Quality of life following mechanical ventilation in dogs and cats

Quality of life following mechanical ventilation in dogs and cats

Calidad de vida y funcionalidad en sobrevivientes de cuidados intensivos: Una revisión exploratoria

Assessment of Respiratory Functions, Activities of Daily Living, and Quality of Life of the Post-mechanical Ventilated Patients

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