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 Pulmonary, Critical Care, Allergy, and Immunology, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157, USA.
J Crit Care. 2018 Jun;45:163-169. doi: 10.1016/j.jcrc.2018.02.001. Epub 2018 Feb 3.
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.
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.
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).
Physical function measurement in a recovery clinic is feasible and may inform subsequent morbidity and mortality.
目的是 1）确定在我们的 ICU 康复诊所（RC）中测量身体功能的可行性，2）确定身体功能是否与 6 个月再住院和 1 年死亡率相关，3）比较 ICU 幸存者的身体功能与其他合并症人群。
我们建立了维克森林大学 ICU RC。患者在出院后 1 个月内到诊所就诊。测试包括 36 项简短健康调查问卷和简短体能测试（SPPB）。我们将这些测量结果与 6 个月的再住院率和 1 年死亡率相关联，并将患者的功能表现与其他合并症人群进行比较。
2014 年 7 月至 2015 年 6 月期间，有 36 名患者在诊所就诊；SPPB 评分中位数为 5（IQR 5）。SF-36 生理成分综合评分中位数为 21.8（IQR 28.8）。1 年死亡率为 14%。在 1 年内未死亡的患者中，有 35%在出院后 6 个月内再次入住我们医院。SPPB 评分与死亡率（p=0.06）和再入院率（p=0.09）呈非显著趋势。与其他慢性疾病患者相比，ICU 幸存者的 SPPB 评分明显较低（p<0.001）。
在康复诊所中进行身体功能测量是可行的，并且可能会影响随后的发病率和死亡率。
