Longer Stay in ICU Impacts Quality of Life Later
(Ivanhoe Newswire) –New research suggests that patients have substantial physical impairments even two years after being released from the hospital after a stay in an intensive care unit (ICU).
Researchers at Johns Hopkins found that for every day of bed rest in the ICU, muscle strength was between three and 11 percent lower over the following months and years.
For the study, researchers followed up on 222 patients who were discharged from one of 13 ICUs at four Baltimore hospitals between October 2004 and October 2007. The patients underwent evaluation of muscle strength at hospital discharge and also three, six, 12, and 24 months later. More than one-third of survivors had muscle weakness at discharge, and although many patients saw improvement over time, the weakness was associated with substantial impairments in physical function and quality of life at follow-up visits.
"Even a single day of bed rest in the ICU has a lasting impact on weakness, which impacts patients' physical functioning and quality of life," Dale M. Needham, MD, PhD, an associate professor of medicine and of physical medicine and rehabilitation at the Johns Hopkins University School of Medicine and senior author of the study, was quoted as saying. "We previously thought that bed rest and sedation in an ICU were helpful for patients, but we're finding this approach to care is actually harmful to the long-term recovery of many."
For more information, go to: http://www.hopkinsmedicine.org/news/media/releases/longer_stay_in_hospital_icu_has_lasting_impact_on_quality_of_life
SOURCE: Critical Care Medicine, April 2014
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