PMID- 36528460 OWN - NLM STAT- MEDLINE DCOM- 20230223 LR - 20230328 IS - 1532-4036 (Electronic) IS - 0964-3397 (Print) IS - 0964-3397 (Linking) VI - 75 DP - 2023 Apr TI - Physical, social, mental and spiritual functioning of COVID-19 intensive care unit-survivors and their family members one year after intensive care unit-discharge: A prospective cohort study. PG - 103366 LID - S0964-3397(22)00169-0 [pii] LID - 10.1016/j.iccn.2022.103366 [doi] AB - OBJECTIVE: To describe the long-term functioning of patients who survived a COVID-19-related admission to the intensive care unit and their family members, in the physical, social, mental and spiritual domain. DESIGN: A single-centre, prospective cohort study with a mixed-methods design. SETTING: The intensive care unit of the University Medical Center Groningen in the Netherlands. MAIN OUTCOME MEASURES: To study functioning 12 months after intensive care discharge several measurements were used, including a standardised list of physical problems, the Clinical Frailty Scale, the Medical Outcomes Study Short-Form General Health Survey, the McMaster Family Assessment Device, the Hospital Anxiety and Depression Scale, and the Spiritual Needs Questionnaire, as well as open questions and interviews with survivors and their family members. RESULTS: A total of 56 survivors (77%) returned the 12-month questionnaire, whose median age was 62 (inter-quartile range [IQR]: 55.0-68.0). Moreover, 67 family members (66%) returned the 12-month questionnaire, whose median age was 58 (IQR: 43-66). At least one physical problem was reported by 93% of the survivors, with 22% reporting changes in their work-status. Both survivors (84%) and their family members (85%) reported at least one spiritual need. The need to feel connected with family was the strongest. The main theme was 'returning to normal' in the interviews with survivors and 'if the patient is well, I am well' in the interviews with family members. CONCLUSIONS: One year after discharge, both COVID-19 intensive care survivors and their family members positively evaluate their health-status. Survivors experience physical impairments, and their family members' well-being is strongly impacted by the health of the survivor. CI - Copyright (c) 2022 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Onrust, Marisa AU - Onrust M AD - University of Groningen, University Medical Center Groningen, Department of Critical Care, the Netherlands. Electronic address: m.onrust@umcg.nl. FAU - Visser, Anja AU - Visser A AD - University of Groningen, Faculty of Theology and Religious Studies, Department of Comparative Study of Religion, the Netherlands. Electronic address: a.visser-nieraeth@rug.nl. FAU - van Veenendaal, Nadine AU - van Veenendaal N AD - University of Groningen, University Medical Center Groningen, Department of Anesthesiology, the Netherlands. Electronic address: n.van.veenendaal@umcg.nl. FAU - Dieperink, Willem AU - Dieperink W AD - University of Groningen, University Medical Center Groningen, Department of Critical Care, the Netherlands; Research Group Nursing Diagnostics, Hanze University of Applied Science Groningen, Groningen, the Netherlands. Electronic address: w.dieperink@umcg.nl. FAU - Luttik, Marie Louise AU - Luttik ML AD - University of Groningen, University Medical Center Groningen, Department of Critical Care, the Netherlands; Research Group Nursing Diagnostics, Hanze University of Applied Science Groningen, Groningen, the Netherlands. Electronic address: m.l.a.luttik@pl.hanze.nl. FAU - Derksen, Mechteld-Hanna G AU - Derksen MG AD - University Medical Center Groningen, Department of Spiritual Care, the Netherlands. Electronic address: m.g.derksen@umcg.nl. FAU - van der Voort, Peter H J AU - van der Voort PHJ AD - University of Groningen, University Medical Center Groningen, Department of Critical Care, the Netherlands; TIAS School for Business and Society, Tilburg University, Tilburg, the Netherlands. Electronic address: p.h.j.van.der.voort@umcg.nl. FAU - van der Meulen, Ingeborg C AU - van der Meulen IC AD - University of Groningen, University Medical Center Groningen, Department of Critical Care, the Netherlands; Research Group Nursing Diagnostics, Hanze University of Applied Science Groningen, Groningen, the Netherlands. Electronic address: i.c.van.der.meulen@pl.hanze.nl. LA - eng PT - Journal Article DEP - 20221207 PL - Netherlands TA - Intensive Crit Care Nurs JT - Intensive & critical care nursing JID - 9211274 MH - Humans MH - Middle Aged MH - *Patient Discharge MH - Prospective Studies MH - Quality of Life MH - *COVID-19 MH - Intensive Care Units MH - Survivors PMC - PMC9726690 OTO - NOTNLM OT - Aftercare OT - COVID-19 OT - Critical care OT - Family OT - Post intensive care syndrome OT - Post intensive care syndrome-family OT - Quality of life OT - Spirituality OT - Survivors COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/12/18 06:00 MHDA- 2023/02/25 06:00 PMCR- 2022/12/07 CRDT- 2022/12/17 22:05 PHST- 2022/04/22 00:00 [received] PHST- 2022/10/14 00:00 [revised] PHST- 2022/12/04 00:00 [accepted] PHST- 2022/12/18 06:00 [pubmed] PHST- 2023/02/25 06:00 [medline] PHST- 2022/12/17 22:05 [entrez] PHST- 2022/12/07 00:00 [pmc-release] AID - S0964-3397(22)00169-0 [pii] AID - 103366 [pii] AID - 10.1016/j.iccn.2022.103366 [doi] PST - ppublish SO - Intensive Crit Care Nurs. 2023 Apr;75:103366. doi: 10.1016/j.iccn.2022.103366. Epub 2022 Dec 7.