Robinson Caroline Cabral, Rosa Regis Goulart, Kochhann Renata, Schneider Daniel, Sganzerla Daniel, Dietrich Camila, Sanchez Évelin Carneiro, Dutra Francine Hoffmann, Oliveira Maicon Quadro de, Anzolin Luisa Barbosa, Menezes Suelen Fardim de, Jeffman Rodrigo, Souza Denise de, Silva Sâmia Faria da, Cruz Luciane Nascimento, Boldo Rodrigo, Cardoso Juliana Rezende, Birriel Daniella Cunha, Gamboa Mariana Nunes, Machado André Sant'Ana, Andrade Juliana Mara Stormosvski de, Alencar Cesar, Teixeira Michelle Carneiro, Vieira Silvia Regina Rios, Moreira Fernanda Caleffe, Amaral Alexandre, Silveira Ana Paula Menezes, Teles José Mario Meira, Oliveira Daniela Cunha de, Oliveira Júnior Lúcio Couto de, Castro Lívia Correa E, Silva Marli Sarmento da, Neves Rafael Trevizoli, Gomes Renata de Andrade, Ribeiro Cinthia Mucci, Cavalcanti Alexandre Biasi, Oliveira Roselaine Pinheiro de, Maccari Juçara Gasparetto, Berto Paula Pinheiro, Martins Lucieda Araújo, Santos Rui Leandro da Silva, Ue Luciana Yumi, Hammes Luciano Serpa, Sharshar Tarek, Bozza Fernando, Falavigna Maicon, Teixeira Cassiano
Escritório de Projetos Programa de Apoio ao Desenvolvimento Institucional/Sistema Único de Saúde (PROADI-SUS), Hospital Moinhos de Vento - Porto Alegre (RS), Brasil.
Centro de Tratamento Intensivo Adulto, Hospital Moinhos de Vento - Porto Alegre (RS), Brasil.
Rev Bras Ter Intensiva. 2018 Oct-Dec;30(4):405-413. doi: 10.5935/0103-507X.20180063. Epub 2019 Jan 10.
To establish the prevalence of physical, cognitive and psychiatric disabilities, associated factors and their relationship with the qualities of life of intensive care survivors in Brazil.
A prospective multicenter cohort study is currently being conducted at 10 adult medical-surgical intensive care units representative of the 5 Brazilian geopolitical regions. Patients aged ≥ 18 years who are discharged from the participating intensive care units and stay 72 hours or more in the intensive care unit for medical or emergency surgery admissions or 120 hours or more for elective surgery admissions are consecutively included. Patients are followed up for a period of one year by means of structured telephone interviews conducted at 3, 6 and 12 months after discharge from the intensive care unit. The outcomes are functional dependence, cognitive dysfunction, anxiety and depression symptoms, posttraumatic stress symptoms, health-related quality of life, rehospitalization and long-term mortality.
The present study has the potential to contribute to current knowledge of the prevalence and factors associated with postintensive care syndrome among adult intensive care survivors in Brazil. In addition, an association might be established between postintensive care syndrome and health-related quality of life.
确定巴西重症监护幸存者身体、认知和精神残疾的患病率、相关因素及其与生活质量的关系。
目前正在巴西5个地缘政治区域具有代表性的10个成人内科-外科重症监护病房开展一项前瞻性多中心队列研究。连续纳入年龄≥18岁、从参与研究的重症监护病房出院、因内科或急诊手术入住重症监护病房72小时及以上或因择期手术入住120小时及以上的患者。在患者从重症监护病房出院后的3、6和12个月，通过结构化电话访谈对患者进行为期一年的随访。观察指标包括功能依赖、认知功能障碍、焦虑和抑郁症状、创伤后应激症状、健康相关生活质量、再次住院和长期死亡率。
本研究有可能为目前关于巴西成人重症监护幸存者中重症监护后综合征的患病率及相关因素的知识做出贡献。此外，可能会在重症监护后综合征与健康相关生活质量之间建立关联。
