دورية أكاديمية
أعرض في EDS

Factors Associated with Functional Recovery among Older Intensive Care Unit Survivors.

التفاصيل البيبلوغرافية
العنوان: Factors Associated with Functional Recovery among Older Intensive Care Unit Survivors.
المؤلفون: Ferrante LE; 1 Section of Pulmonary, Critical Care, and Sleep Medicine and., Pisani MA; 1 Section of Pulmonary, Critical Care, and Sleep Medicine and., Murphy TE; 2 Section of Geriatrics, Department of Medicine, Yale School of Medicine, New Haven, Connecticut., Gahbauer EA; 2 Section of Geriatrics, Department of Medicine, Yale School of Medicine, New Haven, Connecticut., Leo-Summers LS; 2 Section of Geriatrics, Department of Medicine, Yale School of Medicine, New Haven, Connecticut., Gill TM; 2 Section of Geriatrics, Department of Medicine, Yale School of Medicine, New Haven, Connecticut.
المصدر: American journal of respiratory and critical care medicine [Am J Respir Crit Care Med] 2016 Aug 01; Vol. 194 (3), pp. 299-307.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: American Thoracic Society Country of Publication: United States NLM ID: 9421642 Publication Model: Print Cited Medium: Internet ISSN: 1535-4970 (Electronic) Linking ISSN: 1073449X NLM ISO Abbreviation: Am J Respir Crit Care Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 2000- : New York, NY : American Thoracic Society
Original Publication: New York, NY : American Lung Association, c1994-
مواضيع طبية MeSH: Intensive Care Units* , Recovery of Function*, Critical Illness/*rehabilitation , Geriatric Assessment/*statistics & numerical data , Survivors/*statistics & numerical data, Aged ; Aged, 80 and over ; Female ; Geriatric Assessment/methods ; Humans ; Longitudinal Studies ; Male ; Time Factors
مستخلص: Rationale: Most of the 1.4 million older adults who survive the intensive care unit (ICU) annually in the United States face increased disability, but little is known about those who achieve functional recovery.
Objectives: Our objectives were twofold: to evaluate the incidence and time to recovery of premorbid function within 6 months of a critical illness and to identify independent predictors of functional recovery among older ICU survivors.
Methods: Potential participants included 754 persons aged 70 years or older who were evaluated monthly in 13 functional activities (1998-2012). The analytic sample included 218 ICU admissions from 186 ICU survivors. Functional recovery was defined as returning to a disability count less than or equal to the pre-ICU disability count within 6 months. Twenty-one potential predictors were evaluated for their associations with recovery.
Measurements and Main Results: Functional recovery was observed for 114 (52.3%) of the 218 admissions. In multivariable analysis, higher body mass index (hazard ratio [HR], 1.07; 95% confidence interval [CI], 1.03-1.12) and greater functional self-efficacy (HR, 1.05; 95% CI, 1.02-1.08), a measure of confidence in performing various activities, were associated with recovery, whereas pre-ICU impairment in hearing (HR, 0.38; 95% CI, 0.22-0.66) and vision (HR, 0.59; 95% CI, 0.37-0.95) were associated with a lack of recovery.
Conclusions: Among older adults who survived an ICU admission with increased disability, pre-ICU hearing and vision impairment were strongly associated with poor functional recovery within 6 months, whereas higher body mass index and functional self-efficacy were associated with recovery. Future research is needed to evaluate whether interventions targeting these factors improve functional outcomes among older ICU survivors.
التعليقات: Comment in: Am J Respir Crit Care Med. 2016 Aug 1;194(3):252-3. (PMID: 27479057)
References: J Gerontol A Biol Sci Med Sci. 2001 Mar;56(3):M146-56. (PMID: 11253156)
J Gerontol B Psychol Sci Soc Sci. 1996 Jul;51(4):S183-90. (PMID: 8673647)
Chest. 2008 Nov;134(5):974-80. (PMID: 18719063)
Am J Respir Crit Care Med. 2011 Apr 15;183(8):1037-42. (PMID: 21057004)
Am J Respir Crit Care Med. 2012 Mar 1;185(5):517-24. (PMID: 22161158)
Lancet. 2014 Mar 8;383(9920):911-22. (PMID: 23992774)
Intensive Care Med. 2009 Jul;35(7):1152-70. (PMID: 19189078)
Crit Care Med. 2006 Mar;34(3):738-44. (PMID: 16521268)
Crit Care Med. 2013 Aug;41(8):1878-83. (PMID: 23685638)
JAMA. 1988 May 20;259(19):2875-8. (PMID: 3285039)
Arch Intern Med. 2005 Jan 10;165(1):106-12. (PMID: 15642885)
J Gerontol A Biol Sci Med Sci. 2009 Dec;64(12):1296-303. (PMID: 19661289)
Biometrics. 1982 Dec;38(4):963-74. (PMID: 7168798)
Am J Respir Crit Care Med. 2012 Apr 15;185(8):796-8. (PMID: 22505749)
JAMA. 2010 Oct 27;304(16):1787-94. (PMID: 20978258)
Am J Med. 2004 Oct 1;117(7):484-91. (PMID: 15464705)
Soc Sci Med. 1991;32(6):705-14. (PMID: 2035047)
Am J Respir Crit Care Med. 2009 Dec 1;180(11):1092-7. (PMID: 19745202)
JAMA Intern Med. 2015 Apr;175(4):523-9. (PMID: 25665067)
Crit Care Med. 2014 Apr;42(4):849-59. (PMID: 24247473)
J Am Geriatr Soc. 1997 Jan;45(1):92-100. (PMID: 8994496)
Crit Care. 2011 Jun 09;15(3):R142. (PMID: 21658221)
J Gerontol. 1994 Mar;49(2):M85-94. (PMID: 8126356)
Ann Intern Med. 2012 Jan 17;156(2):131-40. (PMID: 22250144)
Crit Care Med. 2006 Apr;34(4):964-70; quiz 971. (PMID: 16484910)
Ann Intern Med. 2001 Sep 4;135(5):313-21. (PMID: 11529694)
Crit Care. 2014 Jan 13;18(2):R12. (PMID: 24410863)
Am J Epidemiol. 2013 Aug 1;178(3):418-25. (PMID: 23548756)
J Psychiatr Res. 1975 Nov;12(3):189-98. (PMID: 1202204)
Am J Respir Crit Care Med. 2014 May 15;189(10):1214-24. (PMID: 24716641)
AMA Arch Ophthalmol. 1955 Sep;54(3):462-8. (PMID: 13248311)
Clin Geriatr Med. 2009 Nov;25(4):643-59, viii. (PMID: 19944265)
N Engl J Med. 2014 Jan 30;370(5):444-54. (PMID: 24476433)
J Am Geriatr Soc. 2000 Dec;48(12):1697-706. (PMID: 11129764)
Intensive Care Med. 2015 Nov;41(11):1911-20. (PMID: 26306719)
J Clin Epidemiol. 2007 Jan;60(1):94-102. (PMID: 17161760)
J Am Geriatr Soc. 1999 Mar;47(3):360-5. (PMID: 10078901)
J Gerontol. 1994 May;49(3):M140-7. (PMID: 8169336)
Ann Intern Med. 1993 Sep 15;119(6):474-81. (PMID: 8357112)
J Aging Health. 1993 May;5(2):179-93. (PMID: 10125443)
J Am Geriatr Soc. 2009 Nov;57(11):2029-36. (PMID: 19754498)
JAMA Intern Med. 2015 Jun;175(6):901-10. (PMID: 25867659)
J Am Geriatr Soc. 2008 Mar;56(3):436-43. (PMID: 18194225)
Crit Care. 2013 Jul 24;17(4):R156. (PMID: 23883525)
J Am Geriatr Soc. 2002 Sep;50(9):1492-7. (PMID: 12383145)
Aging Clin Exp Res. 2003 Aug;15(4):315-20. (PMID: 14661823)
JAMA. 2010 Mar 3;303(9):849-56. (PMID: 20197531)
Am J Respir Crit Care Med. 2012 Apr 15;185(8):835-41. (PMID: 22323301)
معلومات مُعتمدة: K07 AG043587 United States AG NIA NIH HHS; R03 AG050874 United States AG NIA NIH HHS; UL1 TR001863 United States TR NCATS NIH HHS; R37 AG017560 United States AG NIA NIH HHS; T32 HL007778 United States HL NHLBI NIH HHS; T32 AG019134 United States AG NIA NIH HHS; P30 AG021342 United States AG NIA NIH HHS; R01 AG017560 United States AG NIA NIH HHS
فهرسة مساهمة: Keywords: Medicare; functional status; intensive care; quality of life
تواريخ الأحداث: Date Created: 20160204 Date Completed: 20170705 Latest Revision: 20181113
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC4970594
DOI: 10.1164/rccm.201506-1256OC
PMID: 26840348
قاعدة البيانات: MEDLINE
الوصف
تدمد:1535-4970
DOI:10.1164/rccm.201506-1256OC