• Minerva anestesiologica · Jan 2016

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

    • Maria G Bocci, Domenico L Grieco, Serena Lochi, Laura Minguell Del Lungo, Gabriele Pintaudi, Anselmo Caricato, Rita Murri, Claudia Calabrese, Antonio G DE Belvis, Maria Avolio, Claudio Sandroni, and Massimo Antonelli.
    • Department of Anesthesiology and Intensive Care Medicine, Sacro Cuore Catholic University, Rome, Italy - dlgrieco@ymail.com.
    • Minerva Anestesiol. 2016 Jan 1; 82 (1): 22-9.

    BackgroundThe aim of this study was to assess the long-term physical and psychological disabilities and their economic impact in severe trauma survivors.MethodsAdult 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.ResultsA 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.ConclusionSurvivors 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.

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