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Published on: May 2, 2017
Physical consequences of critical illness
Subarna Thirugnanam1, Margaret S Herridge
1Department of Medicine, University of Toronto, Ontario, Canada.
Patients surviving critical illness often face lasting physical and functional impairments, significantly reducing their quality of life. These deficits stem from the illness, organ dysfunction, and extended intensive care unit stays.
Area of Science:
- Critical illness survivorship
- Physical medicine and rehabilitation
- Quality of life research
Background:
- Survivors of critical illness frequently experience long-term physical and functional deficits.
- These impairments negatively impact health-related quality of life.
- Contributing factors include the critical illness itself, organ dysfunction, and prolonged intensive care unit (ICU) stays.
Purpose of the Study:
- To elucidate the multifaceted reasons behind physical morbidity in critical illness survivors.
- To understand the impact of critical illness and its treatment on long-term patient function.
- To identify key factors contributing to decreased quality of life post-ICU.
Main Methods:
- Review of existing literature on critical illness outcomes.
- Analysis of patient data focusing on physical and functional recovery.
- Correlation of ICU stay duration and organ function with long-term deficits.
Main Results:
- Critical illness survivors are at high risk for permanent physical and functional deficits.
- New or worsened organ dysfunction contributes significantly to morbidity.
- Prolonged immobility and extended ICU stays are major factors in functional decline.
Conclusions:
- The nature of critical illness and intensive care unit interventions lead to lasting physical impairments.
- Addressing organ dysfunction and reducing immobility are crucial for improving survivor outcomes.
- Interventions aimed at mitigating these factors are essential for enhancing health-related quality of life in critical illness survivors.
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