Defining needs and goals of post-ICU care for trauma patients: preliminary study

Anselmo Caricato, Rita Murri, Claudio Sandroni, Massimo Antonelli, Maria Grazia Bocci, Domenico Luca Grieco, Laura Minguell Del Lungo, Gabriele Pintaudi, Claudia Calabrese, Maria Avolio

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: The aim of this study was to assess the long-term physical and psychological disabilities and their economic impact in severe trauma survivors. Methods: adult patients with injury severity score >15 and Abbreviated Injury Scale ≤3 admitted to the ICU of a level 1 trauma centre in the lazio region and discharged alive from hospital underwent a structured interview 12-24 months after the event. self-reported somatic symptoms, autonomy, anxiety and depression were evaluated using a Likert-type Scale, Barthel Index and Hospital Anxiety and Depression Score (HADS), respectively. Patients’ working and economic status were also investigated. Results: A total of 32/58 patients matching the inclusion criteria were included in the final analysis. eighteen patients (56%) reported at least a partial restriction in daily activities. Most common symptoms included muscle or joint pain, fatigue, and headache. All patients were receiving rehabilitation 1-2 years after the event. Fifty-eight percent of the patients spent more than €3600/year from their family budget for rehabilitation and medical care, however only 25% were receiving financial support from regional social services and 44% were unemployed at the time of the interview. thirty patients (94%) had HADS Depression Score≥11. Conclusion: Survivors of severe trauma in our cohort had limited autonomy and need long-term rehabilitation. Most of them rely on private healthcare services with a significant financial impact on their family budget. Almost all patients had moderate to severe depression. Future post-ICU counseling services should facilitate access to rehabilitation and psychological support for these patients
Original languageEnglish
Pages (from-to)22-29
Number of pages8
JournalMINERVA ANESTESIOLOGICA
Publication statusPublished - 2015

Keywords

  • follow-up
  • trauma

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