Thread by @piezoelectricky

Professors Margaret Herridge and Carol Hodgson @chodgsonANZICRC

Importance of non mortality ICU outcomes

- SF36 / eq5d assessments for functional outcomes

- cognition and mood disorders MOCA / HADS assessments

@ESICM #LIVES2020

clinmedjournals.org/articles/jmdt/…

Risk factors for worse ICU outcome:

- age - purely as a marker of organ reserve
- illness trajectory prior to ICU
- pre existing mental & physical health
- duration of delirium related to long term cognition outcome

#LIVES2020 @ESICM

nejm.org/doi/full/10.10…

There is good evidence in the literature for “dose-response” relationships between severity of illness and post-illness function, ie. ICU have worse outcome than hospitalised patients.

The level of dysfunction was also worse than patients expected. So important in consent.

Interestingly, in traumatic brain injury, functional recovery can still be seen up to 2 years post injury.

Health related quality of life measures can also reflect good adaption to disability. So @chodgsonANZICRC highlights the importance of measuring both.

#LIVES2020 @ESICM

Professor Margaret Herridge highlights that frailty is an important measure of mortality and non-mortality outcome from critical illness.

#LIVES2020 @ESICM

She highlights this work

https://twitter.com/drdaleneedham/status/440198368019480576

@DrDaleNeedham