January 23, 2018 |
Longer Stay in Hospital ICU Has Lasting Impact on Quality of Life
April 2, 2014  | 

Baltimore, MD - Patients have substantial physical impairments even two years after being discharged from the hospital after a stay in an intensive care unit (ICU), new Johns Hopkins research suggests. The scientists found that for every day of bed rest in the ICU, muscle strength was between 3 and 11 percent lower over the following months and years.

“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,” says Dale M. Needham, M.D., Ph.D., 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 described in the April issue of Critical Care Medicine. “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 the study, the Johns Hopkins team followed up on 222 patients discharged from one of 13 ICUs at four Baltimore hospitals between October 2004 and October 2007. All patients spent time on a mechanical ventilator as part of their successful treatment for acute lung injury, a syndrome marked by inflammation and excessive fluid in the lungs and frequent multiorgan failure. The disorder is considered an archetype disease in studying patients with critical illness. Continue>

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