Functional Status in Older Intensive Care Unit Survivors

Hsin-Ju Tang, Hsin-Yi (Jean) Tang, Chia-Ming Chang, Pei-Fang Su and Ching-Huey Chen

Clinical Nursing Research, 2020, vol. 29, issue 1, 5-12

Abstract: Older ICU survivors are often challenged with clusters of geriatric syndromes and functional decline. The purpose of this study was (a) to assess patterns of geriatric syndromes and functional status from admission to 6 months post discharge and (b) to examine the predictors of longitudinal functional status. This is a prospective cohort study. Demographic information, clinical variables, geriatric syndromes, and functional status were collected longitudinally. A total of 192 medical ICU older adult survivors were included in the analysis. Factors associated with reductions in functional status over 6 months were (a) institutionalized prior to hospitalization, (b) pressure sore before admission, (c) existing delirium, (d) impaired mobility at baseline, (e) increased APACHE II score upon ICU admission, and (f) use of mechanical ventilation during the ICU stay. Importantly, overweight was the only factor that was associated with increased functional level over 6 months.

Keywords: body mass index; functional status; geriatric syndromes; ICU survivor; older adults (search for similar items in EconPapers)
Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:29:y:2020:i:1:p:5-12

DOI: 10.1177/1054773818785860

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