Evaluation of functional independence and quality of life after discharge of intensive care unit: a prospective cohort study
DOI:
https://doi.org/10.17267/2238-2704rpf.2022.e4189Keywords:
Functionality, Intensive Care Unit, Quality of Life, PhysiotherapyAbstract
INTRODUCTION: Critically ill patients may experience functional, social, and mental changes, including impaired cognition, memory, and concentration after admission to the intensive care unit (ICU) and hospital discharge. Despite the knowledge about the impact of the hospital stay on functionality and quality of life, there is still little recognition in the literature of this impact in the long term. OBJECTIVE: To verify functional independence and quality of life (QOL) in patients over 1 year after discharge from the Intensive Care Unit (ICU). METHODS: This is a prospective cohort study, were admitted to the ICU and under mechanical ventilation for more than 48 hours, up to 24 hours after discharge from the ICU, over 18 years of age, of both sexes and who agreed to participate in the study. Those with neurological sequelae and recurrent trauma that made functional assessment impossible were excluded. Functional independence (Functional Independence Measure-FIM) and QOL variables were measured using the Short Form 36 questionnaire (SF-36) at the time of discharge from the ICU (period I), 30 days (period II), and 1 year after (period III). Results: 33 patients were included in the study with a mean age of 49.13±16.3, and the main cause of hospitalization was neurological disorders, of which 5(14.70%) died, and two did not complete the evaluations, resulting in a total of 26 patients evaluated 1 year after discharge. The length of ICU stay (days) was 16 (7 - 22) and the Mechanical Ventilation time (days) was 8,5 (2 - 13). Ten patients there were diagnosed with sepsis. The following values over these three moments were found for the variables IF (I-51 [47–64.5]; II-80[59.5–108]; III-104[82.8-123]) and QOL(I–67.4[57.3–81.1]; II-80.2[70.1–99.2]; III–93.5[88.5–96.5]). Functional independence and QOL increased significantly between moments II and III compared to moments I (p <0.05), with no difference, when comparing period II in relation to III. Conclusion: Patients recover their functionality and quality of life after thirty days of discharge from the ICU. However, this patient's functionality and quality of life do not change after 1 year of discharge from the ICU in relation to the period of 30 days after discharge from the ICU.
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Copyright (c) 2022 André Luiz Cordeiro, Francielle Peixoto, Maya Menezes , Franciele Norberto, Fernanda Machado Kutchak , Marcelo Rieder , Bruno Prata Martinez , Luiz Alberto Forgiarini Junior Forgiarini Junior
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
