Life after sepsis: an international survey of survivors to understand the post-sepsis syndrome.


Journal

International journal for quality in health care : journal of the International Society for Quality in Health Care
ISSN: 1464-3677
Titre abrégé: Int J Qual Health Care
Pays: England
ID NLM: 9434628

Informations de publication

Date de publication:
01 Apr 2019
Historique:
received: 14 01 2018
revised: 30 04 2018
accepted: 02 06 2018
pubmed: 21 6 2018
medline: 25 7 2019
entrez: 21 6 2018
Statut: ppublish

Résumé

In this study, we aim to describe the post-sepsis syndrome from the perspective of the sepsis survivors. The study is a prospective, observational online international survey. Sepsis survivors enrolled via social media from 13 September 2014 to 13 September 2016. None. Physiologic, physical and psychological function post-sepsis; and patient satisfaction with sepsis-centered care. 1731 completed surveys from 41 countries were analyzed, with 79.9% female respondents, age 47.6 ± 14.4 years. The majority of respondents (47.8%) had sepsis within the last year. Survivors reported an increase in sensory, integumentary, digestive, breathing, chest pain, kidney and musculoskeletal problems after sepsis (all P-value <0.0001). Physical functions such as daily chores, running errands, spelling, reading and reduced libido posed increased difficulty (all P-value <0.0001). Within 7 days prior to completing the survey, the survivors reported varying degrees of anxiety, depression, fatigue and sleep disturbance. Sepsis survivors reported dissatisfaction with a number of hospital support services, with up to 29.3% of respondents stating no social services support was provided for their condition. Sepsis survivors suffer from a myriad of physiologic, physical and psychological challenges. Survivors overall reveal dissatisfaction with sepsis-related care, suggesting areas for improvement both in-hospital and post-discharge.

Identifiants

pubmed: 29924325
pii: 5040109
doi: 10.1093/intqhc/mzy137
doi:

Types de publication

Journal Article

Langues

eng

Pagination

191-198

Informations de copyright

© The Author(s) 2018. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Auteurs

Cynthia Y Huang (CY)

Division of Pulmonary, Critical Care, Hyperbaric and Sleep Medicine, Department of Medicine, Loma Linda University, Loma Linda, California, USA.

Ron Daniels (R)

The UK Sepsis Trust, Birmingham B2 5SN, UK; and Department of Critical Care, Heart of England NHS Foundation Trust, Sutton Coldfield, UK.

Angie Lembo (A)

Sepsis Survivor, Sepsis Survivors Inc., Corona, California, USA.

Christiane Hartog (C)

Center for Sepsis Control and Care, University Hospital of Jena, 07747 Jena; and Patient- and Family-Centered Care, Klinik Bavaria Kreischa, Kreischa, Germany.

Jim O'Brien (J)

Sepsis Alliance, San Diego, California, USA.

Thomas Heymann (T)

Sepsis Alliance, San Diego, California, USA.

Konrad Reinhart (K)

Center for Sepsis Control and Care, University Hospital of Jena, 07747 Jena; and Patient- and Family-Centered Care, Klinik Bavaria Kreischa, Kreischa, Germany.
Global Sepsis Alliance, Jena, Germany.

H Bryant Nguyen (HB)

Division of Pulmonary, Critical Care, Hyperbaric and Sleep Medicine, Department of Medicine, Loma Linda University, Loma Linda, California, USA.

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