TY - JOUR
T1 - Physical impairments associated with post-intensive care syndrome
T2 - Systematic review based on the world health organization's international classification of functioning, disability and health framework
AU - Ohtake, Patricia J.
AU - Lee, Alan C.
AU - Scott, Jacqueline Coffey
AU - Hinman, Rana S.
AU - Ali, Naeem A.
AU - Hinkson, Carl R.
AU - Needham, Dale M.
AU - Shutter, Lori
AU - Smith-Gabai, Helene
AU - Spires, Mary C.
AU - Thiele, Alecia
AU - Wiencek, Clareen
AU - Smith, James M.
N1 - Funding Information:
The authors completed the ICJME Form for Disclosure of Potential Conflicts of Interest. R.S. Hinman reported that her institution received grant support from the Australian Research Council Future Fellowship and pending grants from the Australian Research Council and National Health & Medical Research Council related to her work. D.M Needham reported that his institution has pending grants from Reck Medical Devices and Baxter Pharmaceuticals related to
Funding Information:
The grant support provided by the Acad emy of Acute Care Physical Therapy and the American Physical Therapy Association (APTA) is gratefully acknowledged.
Publisher Copyright:
© 2018 American Physical Therapy Association.
PY - 2018
Y1 - 2018
N2 - Background. Post-intensive care syndrome (PICS) is a constellation of new or worsening impairments in physical, mental, or cognitive abilities or a combination of these in individuals who have survived critical illness requiring intensive care. Purpose. The 2 purposes of this systematic review were to identify the scope and magnitude of physical problems associated with PICS during the first year after critical illness and to use the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework to elucidate impairments of body functions and structures, activity limitations, and participation restrictions associated with PICS. Data Sources. Ovid MEDLINE, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, CINAHL Plus with Full Text (EBSCO), Web of Science, and Embase were searched from inception until March 7, 2017. Study Selection. Two reviewers screened titles, abstracts, and full text to independently determine study eligibility based on inclusion and exclusion criteria. Data Extraction. Study methodological quality was assessed using the NewcastleOttawa Scale. Data describing study methods, design, and participant outcomes were extracted. Data Synthesis. Fifteen studies were eligible for review. Within the first year following critical illness, people who had received intensive care experienced impairments in all 3 domains of the ICF (body functions and structures, activity limitations, and participation restrictions). These impairments included decreased pulmonary function, reduced strength of respiratory and limb muscles, reduced 6-minute walk test distance, reduced ability to perform activities of daily living and instrumental activities of daily living, and reduced ability to return to driving and paid employment. Limitations. The inclusion of only 15 observational studies in this review may limit the generalizability of the findings. Conclusions. During the first year following critical illness, individuals with PICS experienced physical impairments in all 3 domains of the ICF.
AB - Background. Post-intensive care syndrome (PICS) is a constellation of new or worsening impairments in physical, mental, or cognitive abilities or a combination of these in individuals who have survived critical illness requiring intensive care. Purpose. The 2 purposes of this systematic review were to identify the scope and magnitude of physical problems associated with PICS during the first year after critical illness and to use the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework to elucidate impairments of body functions and structures, activity limitations, and participation restrictions associated with PICS. Data Sources. Ovid MEDLINE, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, CINAHL Plus with Full Text (EBSCO), Web of Science, and Embase were searched from inception until March 7, 2017. Study Selection. Two reviewers screened titles, abstracts, and full text to independently determine study eligibility based on inclusion and exclusion criteria. Data Extraction. Study methodological quality was assessed using the NewcastleOttawa Scale. Data describing study methods, design, and participant outcomes were extracted. Data Synthesis. Fifteen studies were eligible for review. Within the first year following critical illness, people who had received intensive care experienced impairments in all 3 domains of the ICF (body functions and structures, activity limitations, and participation restrictions). These impairments included decreased pulmonary function, reduced strength of respiratory and limb muscles, reduced 6-minute walk test distance, reduced ability to perform activities of daily living and instrumental activities of daily living, and reduced ability to return to driving and paid employment. Limitations. The inclusion of only 15 observational studies in this review may limit the generalizability of the findings. Conclusions. During the first year following critical illness, individuals with PICS experienced physical impairments in all 3 domains of the ICF.
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U2 - 10.1093/PTJ/PZY059
DO - 10.1093/PTJ/PZY059
M3 - Review article
C2 - 29961847
AN - SCOPUS:85054855318
SN - 0031-9023
VL - 98
SP - 631
EP - 645
JO - Physical therapy
JF - Physical therapy
IS - 8
ER -