Mental and physical disorders after ICU discharge.
OBJECTIVE
Research and studies related to the long-term consequences of intensive care are increasing. This review focuses on some of the most recent knowledge in this field.


RESULTS
Still studies regarding the health-related quality of life (HRQOL) in survivors after intensive care are frequently published and reveal more details about the fact that HRQOL is reduced constantly in these groups. More specific studies regarding depression and anxiety have given more insight into this complication that is rather commonly found. Tests of cognitive dysfunction in survivors may be applied using PC and touch screen and will probably increase in use in the next year. Also recent findings regarding renal recovery in patients with acute renal failure and the natural course of critical illness polyneuropathy and myopathy are better described. Intervention studies during ICU stay or immediately after in the hope to decrease the long-term consequences of intensive care are still few, but positive effects of early mobilization during ICU care are now documented.


CONCLUSIONS
Outcome research is increasing, and hopefully this research gradually will shift towards intervention studies aimed to reduce the continuous burden from intensive care in many survivors.
Flaatten
Hans
H
KSK/ICU, Haukeland University Hospital, Bergen, Norway. hans.flaatten@kir.uib.no
D006233:Persons with Disabilities; D006304:Health Status; D006801:Humans; D007362:Intensive Care Units; D001523:Mental Disorders; D010351:Patient Discharge; D011788:Quality of Life