Abstract

The transition from hospital to home is complicated for older adults who experience a serious or life-threatening illness. The specific aims of this prospective, observational cohort study were to determine the number of older adults who experience a change in their functional ability and residence after an intensive care unit (ICU) stay and to explore risk factors for functional decline and new institutionalization at hospital discharge. We found high rates of unrecognized preexisting cognitive impairment, delirium, complications, functional decline, and new institutionalization in this sample (N = 43). A number of variables were associated with functional decline or new institutionalization, including narcotic agent use (p = 0.03), ICU complications (p = 0.05), comorbidities (p = 0.01), depression (p = 0.05), and severity of illness (p = 0.05). We identified device self-removal, admission type, and ICU delirium as also potentially associated with these outcomes (p ≤ 0.25). There are a number of important and potentially modifiable factors that influence an older adult's ability to recover after a critical illness.

Original languageEnglish (US)
Pages (from-to)14-25
Number of pages12
JournalJournal of gerontological nursing
Volume37
Issue number12
DOIs
StatePublished - Jan 1 2011

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Institutionalization
Critical Care
Intensive Care Units
Aptitude
Delirium
Device Removal
Narcotics
Critical Illness
Observational Studies
Comorbidity
Cohort Studies
Depression

ASJC Scopus subject areas

  • Gerontology

Cite this

Transtitions experienced by older survivors of critical care. / Balas, Michele C.; Chaperon, Claudia M; Sisson, Joseph Harold; Bonasera, Stephen J; Hertzog, Melody; Potter, Jane Frances; Peterson, Delayne; Mcvay, Wendy; Gorman, Jackie; Burke, William J.

In: Journal of gerontological nursing, Vol. 37, No. 12, 01.01.2011, p. 14-25.

Research output: Contribution to journalArticle

Balas, Michele C. ; Chaperon, Claudia M ; Sisson, Joseph Harold ; Bonasera, Stephen J ; Hertzog, Melody ; Potter, Jane Frances ; Peterson, Delayne ; Mcvay, Wendy ; Gorman, Jackie ; Burke, William J. / Transtitions experienced by older survivors of critical care. In: Journal of gerontological nursing. 2011 ; Vol. 37, No. 12. pp. 14-25.
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