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Flaws D, Fraser JF, Laupland K, Lavana J, Patterson S, Tabah A, Tronstad O, Ramanan M. Time in ICU and post-intensive care syndrome: how long is long enough? Crit Care 2024; 28:34. [PMID: 38263124 PMCID: PMC10807116 DOI: 10.1186/s13054-024-04812-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Accepted: 01/17/2024] [Indexed: 01/25/2024] Open
Abstract
BACKGROUND Our understanding of post-ICU recovery is influenced by which patients are selected to study and treat. Many studies currently list an ICU length of stay of at least 24, 48, or 72 h as an inclusion criterion. This may be driven by established evidence that prolonged time in an ICU bed and prolonged ventilation can complicate post-ICU rehabilitation. However, recovery after short ICU stays still needs to be explored. METHODS This is a secondary analysis from the tracking outcomes post-intensive care (TOPIC) study. One hundred and thirty-two participants were assessed 6-months post-ICU discharge using standardised and validated self-report tools for physical function, cognitive function, anxiety, depression and post-traumatic stress disorder (with clinically significant impairment on any tool being considered a complicated recovery). Routinely collected data relating to the ICU stay were retrospectively accessed, including length of stay and duration of mechanical ventilation. Patients with short ICU stays were intentionally included, with 77 (58%) participants having an ICU length of stay < 72 h. RESULTS Of 132 participants, 40 (30%) had at least one identified post-ICU impairment 6 months after leaving ICU, 22 (17%) of whom had an ICU length of stay < 72 h. CONCLUSION Many patients with an ICU length of stay < 72 h are reporting post-ICU impairment 6 months after leaving ICU. This is a population often excluded from studies and interventions. Future research should further explore post-ICU impairment among shorter stays.
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Affiliation(s)
- Dylan Flaws
- Department of Mental Health, Metro North Mental Health, Caboolture Hospital, Caboolture, QLD, Australia.
- Critical Care Research Group, Adult Intensive Care Service, The Prince Charles Hospital, Brisbane, QLD, Australia.
- School of Clinical Sciences, Queensland University of Technology, Brisbane, QLD, Australia.
| | - John F Fraser
- Critical Care Research Group, Adult Intensive Care Service, The Prince Charles Hospital, Brisbane, QLD, Australia
- School of Clinical Sciences, Queensland University of Technology, Brisbane, QLD, Australia
- Northside Medical School, University of Queensland, The Prince Charles Hospital, Brisbane, QLD, Australia
- School of Medicine, University of Queensland, Brisbane, QLD, Australia
| | - Kevin Laupland
- School of Clinical Sciences, Queensland University of Technology, Brisbane, QLD, Australia
- Department of Intensive Care, Intensive Care Unit, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia
| | - Jayshree Lavana
- Department of Intensive Care, Adult Intensive Care Services, The Prince Charles Hospital, Brisbane, QLD, Australia
| | - Sue Patterson
- Critical Care Research Group, Adult Intensive Care Service, The Prince Charles Hospital, Brisbane, QLD, Australia
- School of Dentistry, University of Queensland, Brisbane, QLD, Australia
| | - Alexis Tabah
- Department of Intensive Care, Intensive Care Unit, Redcliffe Hospital, Brisbane, QLD, Australia
- Department of Intensive Care, Intensive Care Unit, Caboolture Hospital, Brisbane, QLD, Australia
| | - Oystein Tronstad
- Critical Care Research Group, Adult Intensive Care Service, The Prince Charles Hospital, Brisbane, QLD, Australia
- Department of Intensive Care, Adult Intensive Care Services, The Prince Charles Hospital, Brisbane, QLD, Australia
- School of Medicine, University of Queensland, Brisbane, QLD, Australia
- Physiotherapy Department, The Prince Charles Hospital, Brisbane, QLD, Australia
| | - Mahesh Ramanan
- Department of Intensive Care, Adult Intensive Care Services, The Prince Charles Hospital, Brisbane, QLD, Australia
- Department of Intensive Care, Intensive Care Unit, Caboolture Hospital, Brisbane, QLD, Australia
- School of Medicine, University of Queensland, Brisbane, QLD, Australia
- Critical Care Division, The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia
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McEvoy NL, Tume LN, Trapani J. What are publication reporting checklists and why are they so important? Nurs Crit Care 2022; 27:291-293. [PMID: 35526087 DOI: 10.1111/nicc.12771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Natalie L McEvoy
- Department of Anaesthesia and Critical Care, RCSI University of Medicine and Health Sciences, Dublin, Ireland
| | - Lyvonne N Tume
- School of Health and Society, University of Salford, Manchester, UK
| | - Josef Trapani
- Department of Nursing, University of Malta, Msida, Malta
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