Ambulatory and stationary healthcare use in survivors of ARDS during the first year after discharge from ICU: findings from the DACAPO cohort
Ambulatory and stationary healthcare use in survivors of ARDS during the first year after discharge from ICU: findings from the DACAPO cohort
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DOI：
10.1186/s13613-019-0544-5
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发表时间：
2019-06-14
影响因子：
8.1
通讯作者：
Apfelbacher, Christian
中科院分区：
文献类型：
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作者：
Brandstetter, Susanne;Dodoo-Schittko, Frank;Apfelbacher, Christian
背景对于许多急性呼吸窘迫综合征（ARDS）的幸存者来说，从重症监护病房（ICU）出院到康复的过程漫长而艰难。然而，从 ICU 出院后的医疗保健使用很少受到研究关注。本研究旨在调查德国 ARDS 幸存者（多中心 DACAPO 队列）的流动和固定医疗保健使用程度，并分析固定医疗保健使用的预测因素。结果共有 396 名 ARDS 幸存者提供了从 ICU 出院后 1 年的数据。 50% 的 1 年幸存者在从 ICU 出院后住院 48 天或更长时间，其中 10% 在 12 个月中花费超过 6 个月的时间在固定护理中。住院时间随着最初 ICU 住院时间的延长而显着增加。所有参与者均报告至少一次门诊就诊（包括就诊全科医生），50% 的参与者在从 ICU 出院后的第一年内接触了四个或更多不同的医学专业。结论对于大多数患者来说，ARDS 后的第一年的特点是大量的医疗保健利用，尤其是固定医疗保健方面。这些发现揭示了 ARDS 后患者的显着发病率，并有助于更好地了解患者从 ICU 出院后的状况。
BackgroundFor many survivors of acute respiratory distress syndrome (ARDS), the process from discharge from intensive care unit (ICU) to recovery is long and difficult. However, healthcare use after discharge from ICU has received only little attention by research. This study sets out to investigate the extent of ambulatory and stationary healthcare use among survivors of ARDS in Germany (multicenter DACAPO cohort) and to analyze predictors of stationary healthcare use.ResultsA total of 396 survivors of ARDS provided data at 1year after discharge from ICU. Fifty percent of 1-year survivors were hospitalized for 48days or longer after discharge from ICU, with 10% spending more than six out of 12 months in stationary care. The duration of hospitalization increased significantly by the length of the initial ICU stay. All participants reported at least one outpatient visit (including visits to general practitioners), and 50% contacted four or more different medical specialties within the first year after discharge from ICU.ConclusionsFor most of the patients, the first year after ARDS is characterized by an extensive amount of healthcare utilization, especially with regard to stationary health care. These findings shed light on the substantial morbidity of patients after ARDS and contribute to a better understanding of the situation of patients following discharge from ICU.