Effect of an episode of critical illness on subsequent hospitalisation: a linked data study

Williams, Teresa A.; Knuiman, Matthew; Finn, Judith; Ho, Kwok M.; Dobb, Geoffrey; Webb, Steve

doi:10.1111/j.1365-2044.2009.06206.x

Cited by 12 publications

(8 citation statements)

References 39 publications

(65 reference statements)

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“…therefore, readmission incidence appears lower than 70%, as reported in a previous study [34]. Until 12 months post-discharge, ICU survivors' physical and mental health is at low levels and recovers slowly [35].…”

Section: Hads Measures Of Activities Of Daily Living [Adl]supporting

confidence: 56%

Cut-Off Values of the Post-Intensive Care Syndrome Questionnaire for the Screening of Unplanned Hospital Readmission within One Year

Kang

Jeong²,

Hong

2020

J Korean Acad Nurs

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This study aimed to assign weights for subscales and items of the Post-Intensive Care Syndrome questionnaire and suggest optimal cutoff values for screening unplanned hospital readmissions of critical care survivors. Methods: Seventeen experts participated in an analytic hierarchy process for weight assignment. Participants for cutoff analysis were 240 survivors who had been admitted to intensive care units for more than 48 hours in three cities in Korea. We assessed participants using the 18-item Post-Intensive Care Syndrome questionnaire, generated receiver operating characteristic curves, and analysed cutoff values for unplanned readmission based on sensitivity, specificity, and positive likelihood ratios. Results: Cognitive, physical, and mental subscale weights were 1.13, 0.95, and 0.92, respectively. Incidence of unplanned readmission was 25.4%. Optimal cutoff values were 23.00 for raw scores and 23.73 for weighted scores (total score 54.00), with an area of under the curve (AUC) of .933 and .929, respectively. There was no significant difference in accuracy for original and weighted scores. Conclusion: The optimal cutoff value accuracy is excellent for screening of unplanned readmissions. We recommend that nurses use the Post-Intensive Care Syndrome Questionnaire to screen for readmission risk or evaluating relevant interventions for critical care survivors.

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Section: Hads Measures Of Activities Of Daily Living [Adl]supporting

confidence: 56%

Cut-Off Values of the Post-Intensive Care Syndrome Questionnaire for the Screening of Unplanned Hospital Readmission within One Year

Kang

Jeong²,

Hong

2020

J Korean Acad Nurs

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“…First, the sample size of this study was relatively small and hence the results were imprecise. Second, ongoing health care utilization after hospital discharge was very likely for most of our patients 28 . There is a suggestion that off‐label use of rFVIIa may increase risk of venous thromboembolism and hence the total costs of medical care 10,29 .…”

Section: Discussionmentioning

confidence: 96%

Cost‐effectiveness of using recombinant activated factor VII as an off‐label rescue treatment for critical bleeding requiring massive transfusion

Litton

2011

Transfusion

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“…Our patients reported that they believed a follow-up clinic would have been beneficial. This does not imply that such clinics are indeed able to improve outcomes [32][33][34][35][36][37] . Limited published data suggest, however, that patients find such clinics valuable [38][39][40] .…”

Section: Strengths and Limitationsmentioning

confidence: 98%

A Feasibility Study of Functional Status and Follow-Up Clinic Preferences of Patients at High Risk of Post Intensive Care Syndrome

Farley

Eastwood²,

Bellomo

2016

Anaesth Intensive Care

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After prolonged mechanical ventilation patients may experience the 'post intensive care syndrome' (PICS) and may be candidates for post-discharge follow-up clinics. We aimed to ascertain the incidence and severity of PICS symptoms in patients surviving prolonged mechanical ventilation and to describe their views regarding follow-up clinics. In a teaching hospital, we conducted a cohort study of all adult patients discharged alive after ventilation in ICU for ≥7 days during 2013. We administered the EuroQol-5D (EQ-5D) and Hospital Anxiety and Depression Scale (HADS) via telephone interview and asked patients their views about the possible utility of a follow-up clinic. We studied 48 patients. At follow-up (average 19.5 months), seven (15%) patients had died and 14 (29%) did not participate (eight declined; two were non-English speakers; four were non-contactable). Among the 27 responders, 16 (59%) reported at least moderate problems in ≥1 EQ-5D dimension; 10 (37%) in ≥2 dimensions, and 8 (30%) in ≥3 dimensions. Moreover, 10 (37%) patients reported marked psychological symptoms; six (22%) scored borderline or abnormal on the HADS for both anxiety and depression; and four (15%) scored borderline or abnormal for one component. Finally, 21/26 (81%) patients stated that an ICU follow-up clinic would have been beneficial. At long-term follow-up, the majority of survivors of prolonged mechanical ventilation reported impaired quality of life and significant psychological symptoms. Most believed that a follow-up clinic would have been beneficial.

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Effect of an episode of critical illness on subsequent hospitalisation: a linked data study

Cited by 12 publications

References 39 publications

Cut-Off Values of the Post-Intensive Care Syndrome Questionnaire for the Screening of Unplanned Hospital Readmission within One Year

Cut-Off Values of the Post-Intensive Care Syndrome Questionnaire for the Screening of Unplanned Hospital Readmission within One Year

Cost‐effectiveness of using recombinant activated factor VII as an off‐label rescue treatment for critical bleeding requiring massive transfusion

A Feasibility Study of Functional Status and Follow-Up Clinic Preferences of Patients at High Risk of Post Intensive Care Syndrome

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