New Physical, Mental, and Cognitive Problems 1 Year after ICU Admission: A Prospective Multicenter Study

• DOI: 10.1164/rccm.202009-3381oc
• Publication Date: 2021-02-02T01:53:32Z
• Authors: Wytske W. Geense; Marieke Zegers; Marco A. A. Peters; Esther Ewalds; Koen S. Simons; Hester Vermeulen; Johannes G. van d...; Mark van den Boog...
• Keywords: Depression

Rationale: Comprehensive studies addressing the incidence of physical, mental, and cognitive problems after ICU admission are lacking. With an increasing number survivors, improved understanding post-ICU is necessary. Objectives: To determine occurrence cooccurrence new among survivors 1 year admission, their impact on daily functioning, risk factors associated with 1-year outcomes. Methods: Prospective multicenter cohort study, including patients ⩾16 years age, admitted for ⩾12 hours between July 2016 June 2019. Patients, or proxies, rated health status before using questionnaires. Measurements Main Results: Validated questionnaires were used to measure frailty, fatigue, physical symptoms, anxiety depression, post-traumatic stress disorder, impairment, quality life. Of 4,793 included, 2,345 completed both admission. New and/or experienced by 58% medical patients, 64% urgent surgical 43% elective patients. Urgent a significant deterioration in mental whereas improvement. Medical increase symptoms depression. A decline functioning was all types Pre-ICU strongly problems. Conclusions: Overall, 50% suffer from An insight into specific would enable more personalized care.