Han Su retweeted
Below: Idea for reducing disability in ICU survivors, not just geriatrics
Short ICU stay can —> frailty
Geriatric interventions merit evaluation for post-intensive care syndrome (#PICS)
Below is also analogy for helping return to work too (eg work accommodations needed)
Impressive CAPABLE RCT:
Improved home environment (eg install shower seat, grab bars)
-> improved ADLs (bathing/showering) & increased life space
-> hire handy person! #AGS21 @AmerGeriatrics #GeriatricsLiteratureUpdate
Han Su retweeted
Physical decline over 5yr after ARDS
69% experienced a physical decline!
Risk factors:
-age
-Pre-ARDS comorbidity
-severity of ICU organ failure
Reminder: #ICUrehab includes the entire post-ICU continuum
(More details in twitter thread)
Below: data on different trajectories of “recovery” after ARDS
The word “recovery” falsely implies a linear path of improvement
link.springer.com/article/10…
Paper in @yourICM journal
Authors Liz Pfoh, @V_Dinglas @DrDaleNeedham et al
Work inspired by @iwashyna
Ping @HeidiEngel4
Han Su retweeted
Pain in ARDS survivors
(from @improvelto group)
“Pre-ARDS unemployment, smoking history & in-ICU opioid use may identify pts who report greater pain during recovery
Given frequent co-occurrence, clinicians should manage BOTH physical & neuropsych issues when pain reported”
Bodily pain in survivors of acute respiratory distress syndrome: A 1-year longitudinal follow-up study bit.ly/3wB84vt
Han Su retweeted
In this large population based study, survival from critical illness was associated with subsequent suicide and self-harm, with ICU survivors having a higher incidence of these outcomes compared with hospital survivors who never required ICU @shanfernands
ow.ly/Ubi350EFPwA
Han Su retweeted
Imp’t paper re: stats issues for RCTs evaluating functional (ie non-mortality) outcomes
(esp for ICU trials + other high mortality pts (cancer))
Led by Elizabeth Colantuoni + @DrDaleNeedham @timothygirard @dscharf3 et al
More info: via @improvelto & improveLTO.com
RCTs w/ functional outcomes in pts at high risk of death
40% measured primary outcome via
“survivors only analysis”
-->potentially misleading results
Some recommendations provided
New paper
Free full text
By @improveLTO group
authors.elsevier.com/c/1d1hz…
Han Su retweeted
Important paper from @UWSoN PhD grad Dr. Han Su. Examining imbalance in ability and workload and addressing both sides may assist return to work after ARDS.
Understanding jobless after ARDS
New @ThoraxBMJ paper
Unable to return to work if
imbalance in:
physical + psychosocial workload vs. pt ability
Authors: @HanSu__hs & @improveLTO group
thorax.bmj.com/content/early…
Han Su retweeted
Congrats @UWSoN newest PhD grad Dr. Han Su on successful defense and 1st paper out same week! #NursingScience #CriticalCare
Factors associated with employment outcome after critical illness: Systematic review, meta‐analysis, and meta‐regression onlinelibrary.wiley.com/doi/…
Han Su retweeted
*NEW* Core Outcomes Set (COS) for #COVID19 trials
pubmed.ncbi.nlm.nih.gov/3280…
Mortality
Resp. failure
Organ failure
Shortness of breath
Recovery
All COVID-19 COS are here: bit.ly/3iRHpCx
COS resources: improvelto.com/cos-resources…
