Rita N Bakhru1, James F Davidson2, Rebecca E Bookstaver3, Michael T Kenes4, Kristin G Welborn5, Peter E Morris6, D Clark Files7. 1. Department of Internal Medicine, Section on Pulmonary, Critical Care, Allergy, and Immunology, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157, USA; Critical Illness Injury and Recovery Research Center, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157, USA. Electronic address: rbakhru@wakehealth.edu. 2. Department of Internal Medicine, Section on Pulmonary, Critical Care, Allergy, and Immunology, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157, USA. 3. Department of Pharmacy, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-Salem, NC 27157, USA. Electronic address: rbooksta@wakehealth.edu. 4. Department of Pharmacy, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-Salem, NC 27157, USA. Electronic address: mkenes@wakehealth.edu. 5. Department of Pharmacy, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-Salem, NC 27157, USA. Electronic address: KWelborn2@ghs.org. 6. Department of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Kentucky, 740 S. Limestone, Lexington, KY 40536, USA. Electronic address: peter.morris@uky.edu. 7. Department of Internal Medicine, Section on Pulmonary, Critical Care, Allergy, and Immunology, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157, USA; Critical Illness Injury and Recovery Research Center, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157, USA; Department of Internal Medicine, Section on Gerontology and Geriatric Medicine, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157, USA. Electronic address: dfiles@wakehealth.edu.
Abstract
PURPOSE: The aims were to 1) determine feasibility of measuring physical function in our ICU Recovery Clinic (RC), 2) determine if physical function was associated with 6-month re-hospitalization and 1-year mortality and 3) compare ICU survivors' physical function to other comorbid populations. MATERIALS AND METHODS: We established the Wake Forest ICU RC. Patients were seen in clinic 1month following hospital discharge. Testing included the Short Form-36 questionnaire and Short Physical Performance Battery (SPPB). We related these measures to 6month re-hospitalizations and 1year mortality, and compared patients' functional performance with other comorbid populations. RESULTS: Thirty-six patients were seen in clinic from July 2014 to June 2015; the median SPPB score was 5 (IQR 5). The median SF-36 physical component summary score was 21.8 (IQR 28.8). Mortality was 14% at 1year. Of those who did not die by 1year, 35% were readmitted to our hospital within 6months of hospital discharge. SPPB scores demonstrated a non-significant trend with both mortality (p=0.06) and readmissions (p=0.09). ICU survivors' SPPB scores were significantly lower than those of other chronically ill populations (p<0.001). CONCLUSIONS: Physical function measurement in a recovery clinic is feasible and may inform subsequent morbidity and mortality.
PURPOSE: The aims were to 1) determine feasibility of measuring physical function in our ICU Recovery Clinic (RC), 2) determine if physical function was associated with 6-month re-hospitalization and 1-year mortality and 3) compare ICU survivors' physical function to other comorbid populations. MATERIALS AND METHODS: We established the Wake Forest ICU RC. Patients were seen in clinic 1month following hospital discharge. Testing included the Short Form-36 questionnaire and Short Physical Performance Battery (SPPB). We related these measures to 6month re-hospitalizations and 1year mortality, and compared patients' functional performance with other comorbid populations. RESULTS: Thirty-six patients were seen in clinic from July 2014 to June 2015; the median SPPB score was 5 (IQR 5). The median SF-36 physical component summary score was 21.8 (IQR 28.8). Mortality was 14% at 1year. Of those who did not die by 1year, 35% were readmitted to our hospital within 6months of hospital discharge. SPPB scores demonstrated a non-significant trend with both mortality (p=0.06) and readmissions (p=0.09). ICU survivors' SPPB scores were significantly lower than those of other chronically ill populations (p<0.001). CONCLUSIONS: Physical function measurement in a recovery clinic is feasible and may inform subsequent morbidity and mortality.
Authors: Oscar J Bienvenu; Elizabeth Colantuoni; Pedro A Mendez-Tellez; Victor D Dinglas; Carl Shanholtz; Nadia Husain; Cheryl R Dennison; Margaret S Herridge; Peter J Pronovost; Dale M Needham Journal: Am J Respir Crit Care Med Date: 2011-12-08 Impact factor: 21.405
Authors: Angela M Cheung; Catherine M Tansey; George Tomlinson; Natalia Diaz-Granados; Andrea Matté; Aiala Barr; Sangeeta Mehta; C David Mazer; Cameron B Guest; Thomas E Stewart; Fatma Al-Saidi; Andrew B Cooper; Deborah Cook; Arthur S Slutsky; Margaret S Herridge Journal: Am J Respir Crit Care Med Date: 2006-06-08 Impact factor: 21.405
Authors: Elizabeth L Huggins; Sarah L Bloom; Joanna L Stollings; Mildred Camp; Carla M Sevin; James C Jackson Journal: AACN Adv Crit Care Date: 2016 Apr-Jun
Authors: Dalane W Kitzman; W Gregory Hundley; Peter H Brubaker; Timothy M Morgan; J Brian Moore; Kathryn P Stewart; William C Little Journal: Circ Heart Fail Date: 2010-06-01 Impact factor: 8.790
Authors: Margaret S Herridge; Angela M Cheung; Catherine M Tansey; Andrea Matte-Martyn; Natalia Diaz-Granados; Fatma Al-Saidi; Andrew B Cooper; Cameron B Guest; C David Mazer; Sangeeta Mehta; Thomas E Stewart; Aiala Barr; Deborah Cook; Arthur S Slutsky Journal: N Engl J Med Date: 2003-02-20 Impact factor: 91.245
Authors: Sandra M Eldridge; Gillian A Lancaster; Michael J Campbell; Lehana Thabane; Sally Hopewell; Claire L Coleman; Christine M Bond Journal: PLoS One Date: 2016-03-15 Impact factor: 3.240
Authors: Kirby P Mayer; Heba Boustany; Evan P Cassity; Melissa K Soper; Anna G Kalema; Jimmi Hatton Kolpek; Ashley A Montgomery-Yates Journal: Crit Care Explor Date: 2020-09-28
Authors: Joanne McPeake; Leanne M Boehm; Elizabeth Hibbert; Rita N Bakhru; Anthony J Bastin; Brad W Butcher; Tammy L Eaton; Wendy Harris; Aluko A Hope; James Jackson; Annie Johnson; Janet A Kloos; Karen A Korzick; Pamela MacTavish; Joel Meyer; Ashley Montgomery-Yates; Tara Quasim; Andrew Slack; Dorothy Wade; Mary Still; Giora Netzer; Ramona O Hopkins; Mark E Mikkelsen; Theodore J Iwashyna; Kimberley J Haines; Carla M Sevin Journal: Crit Care Explor Date: 2020-04-29
Authors: Rita N Bakhru; James F Davidson; Rebeca E Bookstaver; Michael T Kenes; Stephen P Peters; Kristin G Welborn; Oksana R Creech; Peter E Morris; D Clark Files Journal: Crit Care Explor Date: 2019-08-09
Authors: Kirby P Mayer; Victor M Ortiz-Soriano; Alborz Kalantar; Joshua Lambert; Peter E Morris; Javier A Neyra Journal: BMC Nephrol Date: 2022-04-07 Impact factor: 2.388
Authors: Simone Pancera; Luca N C Bianchi; Roberto Porta; Silvia Galeri; Maria Chiara Carrozza; Jorge H Villafañe Journal: Int J Rehabil Res Date: 2021-03-01 Impact factor: 1.832
Authors: Regis Goulart Rosa; Camila Dietrich; Enio Luiz Tschiedel do Valle; Denise Souza; Luciana Tagliari; Mariana Mattioni; Túlio Frederico Tonietto; Rosa da Rosa; Mirceli Goulart Barbosa; Gisele Agustini Lovatel; Pedro Dal Lago; Eubrando Silvestre Oliveira; Daniel Sganzerla; Juliana M S Andrade; Paula Berto; Paulo Ricardo Cardoso; Evelin Carneiro Sanchez; Maicon Falavigna; Juçara G Maccari; Gabriela Rech; Caroline Robinson; Daniel Schneider; Patrícia de Leon; Lívia Biason; Cassiano Teixeira Journal: Rev Bras Ter Intensiva Date: 2021-10-25