Survey of sensory impairment in critically ill patients after intensive care unit discharge: An ambidirectional cohort study

Aust Crit Care. 2024 Jan;37(1):12-17. doi: 10.1016/j.aucc.2023.09.012. Epub 2024 Jan 4.

Abstract

Background: Sensory impairment affects the quality of life after intensive care. However, no studies have comprehensively examined sensory impairment after intensive care.

Objectives: This study aimed to investigate sensory impairment in critically ill patients.

Methods: This ambidirectional cohort study was conducted in the intensive care unit (ICU) of a university hospital between April 2017 and January 2020. Patients who survived despite invasive mechanical ventilation for >48 h, with a discharge period of >6 months, participated in the study. A questionnaire was sent to consenting patients to investigate the presence or absence of sensory impairment at that time, and treatment-related data were collected from their medical records.

Results: Of 75 eligible patients, 62 responded to our survey. Twenty-seven (43.6%) patients had some sensory impairment. Nine (14.5%) patients had chronic pain after ICU discharge, 4 (6.5%) had chronic pain and visual impairment, 3 (4.8%) had visual impairment only, and 3 (4.8%) had chronic pain and taste impairment. The most common overlapping symptom was a combination of chronic pain.

Conclusions: Critically ill patients who survived and were discharged from the ICU accounted for 43.6% of patients with complaints of sensory impairment in the chronic phase. The results of this study suggest the need for follow-up and treatment of possible sensory impairment following ICU discharge.

Keywords: Critically ill patients; Intensive care unit; Post–intensive care syndrome; Sensory impairment.

MeSH terms

  • Chronic Pain*
  • Cohort Studies
  • Critical Illness
  • Humans
  • Intensive Care Units
  • Patient Discharge*
  • Quality of Life
  • Surveys and Questionnaires
  • Vision Disorders