title: Does intensive care unit severity of illness influence recall of baseline physical function?
abstract: OBJECTIVE
  The aim of this study is to evaluate if severity of illness in the intensive care unit influences patients' retrospective recall of their baseline physical function from before hospital admission.
  
  
  METHODS
  This is a prospective cohort study of 193 acute lung injury survivors who, before hospital discharge, retrospectively reported their prehospitalization physical function using the Short Form 36 quality of life survey.
  
  
  RESULTS
  Four measures were used to evaluate intensive care unit (ICU) severity of illness: (1) Acute Physiology and Chronic Health Evaluation II Acute Physiologic Score at ICU admission, (2) Lung Injury Score at acute lung injury diagnosis, (3) Sequential Organ Failure Assessment score at study enrollment, and (4) maximum daily Sequential Organ Failure Assessment score during the entire ICU stay. In multivariable linear regression analysis, no measure of severity of illness was associated with prehospitalization physical function. Education level significantly modified the relationship between ICU severity of illness and baseline physical function with lower educational attainment having a stronger association with baseline physical function.
  
  
  CONCLUSIONS
  Intensive care unit severity of illness was not associated with patients' retrospectively recalled baseline physical function. Patients with a lower level of education may be more influenced by ICU severity of illness, but the magnitude of this effect may not be clinically meaningful.
authors: Outcomes After Critical Illness and Surgery Group, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA.
authors: Victor D
authors: VD
authors: Dinglas
authors: Jonathan
authors: J
authors: Gellar
authors: Elizabeth
authors: E
authors: Colantuoni
authors: Vanessa A
authors: VA
authors: Stan
authors: Pedro A
authors: PA
authors: Mendez-Tellez
authors: Peter J
authors: PJ
authors: Pronovost
authors: Dale M
authors: DM
authors: Needham
mesh_terms: D055371:Acute Lung Injury / Q000503:physiopathology* / Q000523:psychology*; D000328:Adult; D015142:Baltimore; D015331:Cohort Studies; D003422:Critical Care; D004522:Educational Status; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D011939:Mental Recall; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires