Return to Driving After Critical Illness

Potter, Kelly; Danesh, Valerie; Butcher, Brad W.; Eaton, Tammy L.; McDonald, Anthony D.; Girard, Timothy D.

doi:10.1001/jamainternmed.2022.7096

Cited by 6 publications

(3 citation statements)

References 6 publications

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“…IADL evaluates more complex skills in daily life. In a previous study, only 13% of survivors of critical illness were able to drive after hospital discharge [ 71 ]. These high-level skills are important for reintegration into society, as assessed by IADL.…”

Section: Discussionmentioning

confidence: 99%

Instruments to assess post-intensive care syndrome assessment: a scoping review and modified Delphi method study

Nakanishi,

Liu,

Kawauchi

et al. 2023

Crit Care

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Background The assessment of post-intensive care syndrome (PICS) is challenging due to the numerous types of instruments. We herein attempted to identify and propose recommendations for instruments to assess PICS in intensive care unit (ICU) survivors. Methods We conducted a scoping review to identify PICS follow-up studies at and after hospital discharge between 2014 and 2022. Assessment instruments used more than two times were included in the modified Delphi consensus process. A modified Delphi meeting was conducted three times by the PICS committee of the Japanese Society of Intensive Care Medicine, and each score was rated as not important (score: 1–3), important, but not critical (4–6), and critical (7–9). We included instruments with ≥ 70% of respondents rating critical and ≤ 15% of respondents rating not important. Results In total, 6972 records were identified in this scoping review, and 754 studies were included in the analysis. After data extraction, 107 PICS assessment instruments were identified. The modified Delphi meeting reached 20 PICS assessment instrument recommendations: (1) in the physical domain: the 6-min walk test, MRC score, and grip strength, (2) in cognition: MoCA, MMSE, and SMQ, (3) in mental health: HADS, IES-R, and PHQ-9, (4) in the activities of daily living: the Barthel Index, IADL, and FIM, (5) in quality of life: SF-36, SF-12, EQ-5D-5L, 3L, and VAS (6), in sleep and pain: PSQI and Brief Pain Inventory, respectively, and (7) in the PICS-family domain: SF-36, HADS, and IES-R. Conclusion Based on a scoping review and the modified Delphi method, 20 PICS assessment instruments are recommended to assess physical, cognitive, mental health, activities of daily living, quality of life, sleep, and pain in ICU survivors and their families.

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Section: Discussionmentioning

confidence: 99%

Instruments to assess post-intensive care syndrome assessment: a scoping review and modified Delphi method study

Nakanishi,

Liu,

Kawauchi

et al. 2023

Crit Care

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“…( 79 ) In addition, for cognitive impairment, it was determined that few patients had resumed driving within 1 month of discharge. ( 82 )…”

Section: Outcomes After Intensive Care Unit Dischargementioning

confidence: 99%

“…( 79 ) Além disso, em relação ao comprometimento cognitivo, observou-se que poucos pacientes voltaram a dirigir dentro de 1 mês após a alta. ( 82 )…”

Section: Desfechos Após a Alta Da Unidade De Terapia Intensivaunclassified

Unmasking the hidden aftermath: postintensive care unit sequelae, discharge preparedness, and long-term follow-up

Teixeira,

Rosa

2024

Crit. Care Sci.

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A significant portion of individuals who have experienced critical illness encounter new or exacerbated impairments in their physical, cognitive, or mental health, commonly referred to as postintensive care syndrome. Moreover, those who survive critical illness often face an increased risk of adverse consequences, including infections, major cardiovascular events, readmissions, and elevated mortality rates, during the months following hospitalization. These findings emphasize the critical necessity for effective prevention and management of long-term health deterioration in the critical care environment. Although conclusive evidence from well-designed randomized clinical trials is somewhat limited, potential interventions include strategies such as limiting sedation, early mobilization, maintaining family presence during the intensive care unit stay, implementing multicomponent transition programs (from intensive care unit to ward and from hospital to home), and offering specialized posthospital discharge follow-up. This review seeks to provide a concise summary of recent medical literature concerning long-term outcomes following critical illness and highlight potential approaches for preventing and addressing health decline in critical care survivors.

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Multidisciplinary Team Approaches to Assessing and Addressing Post Intensive Care Syndrome

Herbst,

Danesh,

Lewis

et al. 2024

Critical Care Clinics

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Return to Driving After Critical Illness

Abstract: This cross-sectional study examines the postintensive care syndrome in patients who had vs patients who had not resumed driving 1 month after hospitalization for a critical illness.

Cited by 6 publications

References 6 publications

Instruments to assess post-intensive care syndrome assessment: a scoping review and modified Delphi method study

Instruments to assess post-intensive care syndrome assessment: a scoping review and modified Delphi method study

Unmasking the hidden aftermath: postintensive care unit sequelae, discharge preparedness, and long-term follow-up

Multidisciplinary Team Approaches to Assessing and Addressing Post Intensive Care Syndrome

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