Long-term physical outcome in patients with septic shock.
BACKGROUND
Limited information is available on physical function after septic shock. The aim of the present study was to assess the physical outcome in survivors 1 year after septic shock.


METHODS
The outcome status of all 174 adult patients admitted to a mixed ICU with the diagnosis septic shock in a 1-year period was registered. Survivors were interviewed about physical function and socioeconomic status using a questionnaire including the Short Form-36 survey. The pre-ICU-admission Functional Comorbidity Index (FCI) was also registered.


RESULTS
Of the 80 survivors, two were still hospitalised; thus, 78 were invited to participate and 70 replied (inclusion-rate 88%). Patients were followed up at median 351 days after hospital discharge. At follow-up the patients had a markedly reduced physical component summary score (PCS) compared with age- and sex-adjusted general population controls (36 vs. 47, P<0.0001). This was also observed in patients with no comorbidity before ICU admission (34 vs. 47, P<0.001). There was a negative correlation (r=-0.27, P=0.03) between pre-ICU-admission FCI values and the PCS at follow-up. According to 81% of the patients, loss of muscle mass was the main cause of decreased physical function. Only 43% (10 vs. 23, P=0.01) of the previously employed had returned to work, and the number of patients in need of home-based personal assistance had doubled (10/20, P=0.04).


CONCLUSIONS
Physical function is substantially reduced in survivors of septic shock 1 year after discharge.
Poulsen
J B
JB
Department of intensive Care, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark. jesper.poulsen@rh.regionh.dk
Møller
K
K
Kehlet
H
H
Perner
A
A
D000368:Aged; D003627:Data Interpretation, Statistical; D003718:Denmark / Q000453:epidemiology; D004651:Employment; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006306:Health Surveys; D006699:Home Care Services / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008606:Mental Processes / Q000502:physiology; D008875:Middle Aged; D020127:Recovery of Function; D012772:Shock, Septic / Q000150:complications / Q000503:physiopathology* / Q000628:therapy; D012946:Social Welfare; D011795:Surveys and Questionnaires; D017741:Survivors; D016896:Treatment Outcome