ArticleJournal of the American Geriatrics Society2019
Early Post-Intensive Care Syndrome among Older Adult Sepsis Survivors Receiving Home Care.
Article in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- What Animal Models Can Tell Us About Long-Term Psychiatric Symptoms in Sepsis Survivors: a Systematic Review.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021Pooled it
- Measuring health-related quality of life in sepsis survivors and caregivers: a mapping review and a preliminary conceptual framework.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Review
- Article
- Incidence of post-intensive care syndrome among patients admitted to post-ICU multidisciplinary consultations: the retrospective observational PICS-MIR study.Scientific reports · 2024Observational
- Post-Intensive Care Syndrome as a Burden for Patients and Their Caregivers: A Narrative Review.Journal of clinical medicine · 2024Review
- Post intensive care syndrome: A review of clinical symptoms, evaluation, intervention.Heliyon · 2024Review
- Study protocol for a randomized controlled trial: Integrating the 'Time-limited Trial' in the emergency department.PloS one · 2024Article
- Empower Emergency Physicians to Make Patient-Centered Recommendations Regarding Code Status With Serious Illness Communication Training-Resident-Desired, Standard of Emergency Care in 2023.Annals of emergency medicine · 2023Article
- Article
- Post-Intensive Care Syndrome-10 Years after Its Proposal and Future Directions.Journal of clinical medicine · 2022Article
- Post-Intensive Care Syndrome and Its New Challenges in Coronavirus Disease 2019 (COVID-19) Pandemic: A Review of Recent Advances and Perspectives.Journal of clinical medicine · 2021Review
- Post-intensive Care Syndrome.Annals of geriatric medicine and research · 2021Article
- Predictive value of geriatric-quickSOFA in hospitalized older people with sepsis.BMC geriatrics · 2021Observational
- Psychological and neuropsychiatric implications of COVID-19.European archives of psychiatry and clinical neuroscience · 2021Review
- Does Early Follow-Up Improve the Outcomes of Sepsis Survivors Discharged to Home Health Care?Medical care · 2019Article
- Relationship between Perme ICU Mobility Score and length of stay in patients after cardiac surgery.Colombia medica (Cali, Colombia)Observational
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
BACKGROUND/
objectivesNew or worsened disabilities in functional, cognitive, or mental health following an intensive care unit (ICU) stay are referred to as post-intensive care syndrome (PICS). PICS has not been described in older adults receiving home care. Our aim was to examine the relationship between length of ICU stay and PICS among older adults receiving home care. We expected that patients in the ICU for 3 days or longer would demonstrate significantly more disability in all three domains on follow-up than those not in the ICU. A secondary aim was to identify patient characteristics increasing the odds of disability.
designRetrospective cohort study.
settingHospitalization for sepsis in the United States.
participantsA total of 21 520 Medicare patients receiving home care and reassessed a median of 1 day (interquartile range 1-2 d) after hospital discharge. MEASUREMENTS: PICS was defined as a decline or worsening in one or more of 16 indicators tested before and after hospitalization using OASIS (Home Health Outcome and Assessment Information Set) and Medicare claims data.
resultsThe sample was predominantly female and white. All had sepsis, and most (81.8%) had severe sepsis. In adjusted models, an ICU stay of 3 days or longer, compared with no ICU stay, increased the odds of physical disability. Overall, the declines were modest and found in specific activities of daily living (16% for feeding and lower body dressing to 26% for oral medicine management). No changes were identified in cognition or mental health. Significant determinants of new or worsened physical disabilities were sepsis severity, older age, depression, frailty, and dementia.
conclusionOlder adults receiving home care who develop sepsis and are in an ICU for 3 days or longer are likely to develop new or worsened physical disabilities. Whether these disabilities remain after the early postdischarge phase requires further study. J Am Geriatr Soc 67:520-526, 2019.
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