Physical function impairment in survivors of critical illness in an ICU Recovery Clinic

Rita N. Bakhru, James F. Davidson, Rebecca E. Bookstaver, Michael T. Kenes, Kristin G. Welborn, Peter E. Morris, D. Clark Files

Research output: Contribution to journalArticlepeer-review

40 Scopus citations

Abstract

Purpose: The aims were to 1) determine feasibility of measuring physical function in our ICU Recovery Clinic (RC), 2) determine if physical function was associated with 6-month re-hospitalization and 1-year mortality and 3) compare ICU survivors’ physical function to other comorbid populations. Materials and methods: We established the Wake Forest ICU RC. Patients were seen in clinic 1 month following hospital discharge. Testing included the Short Form-36 questionnaire and Short Physical Performance Battery (SPPB). We related these measures to 6 month re-hospitalizations and 1 year mortality, and compared patients’ functional performance with other comorbid populations. Results: Thirty-six patients were seen in clinic from July 2014 to June 2015; the median SPPB score was 5 (IQR 5). The median SF-36 physical component summary score was 21.8 (IQR 28.8). Mortality was 14% at 1 year. Of those who did not die by 1 year, 35% were readmitted to our hospital within 6 months of hospital discharge. SPPB scores demonstrated a non-significant trend with both mortality (p = 0.06) and readmissions (p = 0.09). ICU survivors’ SPPB scores were significantly lower than those of other chronically ill populations (p < 0.001). Conclusions: Physical function measurement in a recovery clinic is feasible and may inform subsequent morbidity and mortality.

Original languageEnglish
Pages (from-to)163-169
Number of pages7
JournalJournal of Critical Care
Volume45
DOIs
StatePublished - Jun 2018

Bibliographical note

Publisher Copyright:
© 2018 Elsevier Inc.

Keywords

  • Clinic
  • Critical illness
  • Healthcare utilization
  • Intensive care unit
  • Physical function
  • Recovery

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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