Instrumental Activities of Daily Living after Critical Illness: A Systematic Review

Hopkins, Ramona O.; Suchyta, Mary R.; Kamdar, Biren B.; Darowski, Emily; Jackson, James C.; Needham, Dale M.

doi:10.1513/annalsats.201701-059sr

Cited by 86 publications

(52 citation statements)

References 65 publications

(115 reference statements)

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“…According to a cohort study conducted in China by researchers Li et al 19 , chronic diseases such as hypertension, diabetes mellitus and cerebrovascular diseases may compromise IADLs at more advanced ages as identified in the present study. Thus, patients suffering from critical illness who are hospitalized in an intensive care unit and pathologies such as Parkinson's and different types of cancer are potential factors of disability for the IADLs in adults and the elderly [20][21][22] .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with instrumental activities of daily living dependence in the elderly: a case-control study

Lini

Lima

Cardoso

et al. 2020

Ciênc. saúde coletiva

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The main goal of the study was to determine the factors associated with dependence to perform instrumental activities of daily living in the elderly. A population-based case-control study was conducted, with 180 elderly people from Passo Fundo-RS, 2014. The cases were represented by 60 individuals aged ≥ 60 years, dependents to perform instrumental activities of daily living residents of the urban area of the city. The controls were represented by 120 individuals, not dependents to perform instrumental activities of daily living, residents of the urban area of the city. Crude and multivariate analysis using Poisson regression were performed to test the association between the outcome and the independent variables, estimating the crude and adjusted odds ratios (OR) and calculating the 95% confidence intervals respectively. All the variables with p ≤ 0.20 were included in the final model. Remained statistically significant after adjusted analysis: being aged 80 years or more (OR = 1.76; CI95%: 1.01-3.08), having studied from 1 to 4 years (OR = 2.36; CI95%: 1.35-4.14), being illiterate (OR = 2.98; CI95%: 1.52-5.84), having Parkinson’s disease (OR = 2.44; CI95%: 1.39-4.29) and the presence of cognitive impairment (OR = 1.88; CI95%: 1.30-2.72).

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Section: Discussionmentioning

confidence: 99%

Factors associated with instrumental activities of daily living dependence in the elderly: a case-control study

Lini

Lima

Cardoso

et al. 2020

Ciênc. saúde coletiva

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“…CRASH takes longer than CARG, usually up to 20 minutes, and it is able to evaluate the risk of haematological and non-haematological chemotherapy toxicity and is recommended by the international guidelines. Besides the evaluations already described, the other evaluations of older patients are recommended as a fundamental part of the global evaluation of the patient: the evaluation of IADL [55] is recommended, and several studies demonstrated how an impairment in any of the areas considered are associated with the risk of chemotherapy toxicity, mortality, hospitalisations and functional decline [56]. Falls are common in older patients, and its evaluation is important: a simple question 'how many falls have you had over the last six months' must be done before starting a treatment because falls have been associated with chemotherapy toxicity.…”

Section: The Oncological Point Of Viewmentioning

confidence: 99%

Definition and assessment of frailty in older patients: the surgical, anaesthesiological and oncological perspective

Dottorini¹,

Turati²,

Mattei³

et al. 2020

ecancer

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The number of oncology, surgery and anaesthesia procedures in older patients has greatly increased in recent years due to ageing populations. Older patients are typically characterised by physical changes such as comorbidities, decline in physiological activities and cognitive impairment. All these factors, together with polypharmacological therapies, may substantially impact perioperative outcome, quality of recovery and, more in general, quality of life. A comprehensive multidisciplinary approach to perioperative care is thus needed. The assessment of frailty has a central role in the pre-operative evaluation of older patients and, with a multidisciplinary approach. The best surgical procedures and oncologic therapies can be accurately discussed in the pre-and post-operative periods. All clinicians involved in this scenario should be proactive in multidisciplinary care to achieve better outcomes.

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“…A systematic review of IADLs in ICU survivors by Hopkins et al found that 69% of patients experience new or worsening IADL impairments post-ICU. 22 Moreover, in critically ill patients ventilated for > 48 hours, 70% continue to have IADLs impairments 1-year post-ICU discharge. 21,23 In a prospective longitudinal study of older adults, followed for nearly 15 years, Ferrante et al evaluated the functional trajectories of patients one year before and after critical illness and found that 53.4% of the overall sample experienced functional decline or early death after a critical illness.…”

Section: Functional Status Following Critical Illnessmentioning

confidence: 99%

Patient-Centered Outcomes in Critical Illness: Will My Patient Be Functionally and Cognitively Intact?

Geer

Ferrante

2019

Semin Respir Crit Care Med

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Survival in the intensive care unit (ICU) has steadily increased over the past several decades; millions of patients now survive a critical illness every year. ICU survivors are at a significantly increased risk of impairments in physical function, cognitive function, and mental health. These patient-centered outcomes are among the most meaningful to patients. Landmark studies concerning treatment preferences have demonstrated that patients value functional and cognitive outcomes over mortality. In this chapter, we discuss the determinants of functional and cognitive outcomes post critical illness to address the question, “Will my ICU patient be functionally and cognitively intact?”

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Instrumental Activities of Daily Living after Critical Illness: A Systematic Review

Cited by 86 publications

References 65 publications

Factors associated with instrumental activities of daily living dependence in the elderly: a case-control study

Factors associated with instrumental activities of daily living dependence in the elderly: a case-control study

Definition and assessment of frailty in older patients: the surgical, anaesthesiological and oncological perspective

Patient-Centered Outcomes in Critical Illness: Will My Patient Be Functionally and Cognitively Intact?

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