Determining the Disability Status of Adult Patients Post General Intensive Care Unit Discharge using the World Health Organization Disability Assessment Schedule 2.0

Khadija Ahmed; Vitalis Mung’ayi

doi:doi:10.11648/j.ijacm.20231102.18

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Determining the Disability Status of Adult Patients Post General Intensive Care Unit Discharge using the World Health Organization Disability Assessment Schedule 2.0

Khadija Ahmed, Vitalis Mung’ayi

Published in International Journal of Anesthesia and Clinical Medicine (Volume 11, Issue 2)

Received: 20 August 2023 Accepted: 18 September 2023 Published: 8 October 2023

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Abstract

Background: Critical care has evolved throughout the years since the polio outbreak when the first intensive care unit (ICU) was set up in the United States of America (USA). There is an increasing number of survivors of critical illness. The survivors have been shown to have prolonged physical, cognitive and psychological impairments. There is a paucity of current information on the status of these patients post ICU in Africa. Objectives: To measure the disability status of adult patients post general Intensive Care Unit (ICU) discharge using the World Health Organization Disability Assessment Schedule (WHODAS) 2.0. To determine the factors associated with the degree of disability. Methodology: This was a cross-sectional analytical study. Patients admitted to Aga Khan University Hospital, Nairobi, (AKUHN) ICU, were on mechanical ventilation for more than forty-eight hours and survived to hospital discharge were contacted by telephone. Once they were found to be alive and consented for the study, the WHODAS 2.0 questionnaire was used. The level of disability was measured using the WHODAS 2.0 which has 12 items, where each item was scored between 0 and 4; and the total score was displayed as a percentage. Factors associated with the degree of disability were retrieved from the patients’ files. Data analysis was done using SPSS version 2.0. Results: 92 patients were enrolled into the study where 62.6% (n=57) were females. The disability status in our respondents was as follows; n=26 (28.6%) of them had no disability, n=26 (28.6%) mild disability and n=22 (24.2%) had moderate disability, n=17 (18.7%) of the patients reported severe disability while no participant had complete disability. Median age of 60 years and length of ICU stay were found to be associated with moderate to severe disability. Other factors like; duration of mechanical ventilation, number of comorbid, use of muscle relaxant/steroids, admission diagnosis was not found to be statistically significant in relation to degree of disability. Conclusion: In this study, 57.2% of patients had no disability to mild disability while 42.8% were found to have moderate to severe disability. Patients who were found to have moderate to severe disability had longer ICU stay and were in the older population.

Published in	International Journal of Anesthesia and Clinical Medicine (Volume 11, Issue 2)
DOI	10.11648/j.ijacm.20231102.18
Page(s)	98-105
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Disability, Critical Care Survivors, Post ICU Discharge, Physical Impairment, Mechanical Ventilation, Quality of Life

References

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APA Style

Khadija Ahmed, Vitalis Mung’ayi. (2023). Determining the Disability Status of Adult Patients Post General Intensive Care Unit Discharge using the World Health Organization Disability Assessment Schedule 2.0. International Journal of Anesthesia and Clinical Medicine, 11(2), 98-105. https://doi.org/10.11648/j.ijacm.20231102.18

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ACS Style

Khadija Ahmed; Vitalis Mung’ayi. Determining the Disability Status of Adult Patients Post General Intensive Care Unit Discharge using the World Health Organization Disability Assessment Schedule 2.0. Int. J. Anesth. Clin. Med. 2023, 11(2), 98-105. doi: 10.11648/j.ijacm.20231102.18

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AMA Style

Khadija Ahmed, Vitalis Mung’ayi. Determining the Disability Status of Adult Patients Post General Intensive Care Unit Discharge using the World Health Organization Disability Assessment Schedule 2.0. Int J Anesth Clin Med. 2023;11(2):98-105. doi: 10.11648/j.ijacm.20231102.18

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@article{10.11648/j.ijacm.20231102.18,
  author = {Khadija Ahmed and Vitalis Mung’ayi},
  title = {Determining the Disability Status of Adult Patients Post General Intensive Care Unit Discharge using the World Health Organization Disability Assessment Schedule 2.0},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {11},
  number = {2},
  pages = {98-105},
  doi = {10.11648/j.ijacm.20231102.18},
  url = {https://doi.org/10.11648/j.ijacm.20231102.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20231102.18},
  abstract = {Background: Critical care has evolved throughout the years since the polio outbreak when the first intensive care unit (ICU) was set up in the United States of America (USA). There is an increasing number of survivors of critical illness. The survivors have been shown to have prolonged physical, cognitive and psychological impairments. There is a paucity of current information on the status of these patients post ICU in Africa. Objectives: To measure the disability status of adult patients post general Intensive Care Unit (ICU) discharge using the World Health Organization Disability Assessment Schedule (WHODAS) 2.0. To determine the factors associated with the degree of disability. Methodology: This was a cross-sectional analytical study. Patients admitted to Aga Khan University Hospital, Nairobi, (AKUHN) ICU, were on mechanical ventilation for more than forty-eight hours and survived to hospital discharge were contacted by telephone. Once they were found to be alive and consented for the study, the WHODAS 2.0 questionnaire was used. The level of disability was measured using the WHODAS 2.0 which has 12 items, where each item was scored between 0 and 4; and the total score was displayed as a percentage. Factors associated with the degree of disability were retrieved from the patients’ files. Data analysis was done using SPSS version 2.0. Results: 92 patients were enrolled into the study where 62.6% (n=57) were females. The disability status in our respondents was as follows; n=26 (28.6%) of them had no disability, n=26 (28.6%) mild disability and n=22 (24.2%) had moderate disability, n=17 (18.7%) of the patients reported severe disability while no participant had complete disability. Median age of 60 years and length of ICU stay were found to be associated with moderate to severe disability. Other factors like; duration of mechanical ventilation, number of comorbid, use of muscle relaxant/steroids, admission diagnosis was not found to be statistically significant in relation to degree of disability. Conclusion: In this study, 57.2% of patients had no disability to mild disability while 42.8% were found to have moderate to severe disability. Patients who were found to have moderate to severe disability had longer ICU stay and were in the older population.},
 year = {2023}
}

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TY - JOUR
T1 - Determining the Disability Status of Adult Patients Post General Intensive Care Unit Discharge using the World Health Organization Disability Assessment Schedule 2.0
AU - Khadija Ahmed
AU - Vitalis Mung’ayi
Y1 - 2023/10/08
PY - 2023
N1 - https://doi.org/10.11648/j.ijacm.20231102.18
DO - 10.11648/j.ijacm.20231102.18
T2 - International Journal of Anesthesia and Clinical Medicine
JF - International Journal of Anesthesia and Clinical Medicine
JO - International Journal of Anesthesia and Clinical Medicine
SP - 98
EP - 105
PB - Science Publishing Group
SN - 2997-2698
UR - https://doi.org/10.11648/j.ijacm.20231102.18
AB - Background: Critical care has evolved throughout the years since the polio outbreak when the first intensive care unit (ICU) was set up in the United States of America (USA). There is an increasing number of survivors of critical illness. The survivors have been shown to have prolonged physical, cognitive and psychological impairments. There is a paucity of current information on the status of these patients post ICU in Africa. Objectives: To measure the disability status of adult patients post general Intensive Care Unit (ICU) discharge using the World Health Organization Disability Assessment Schedule (WHODAS) 2.0. To determine the factors associated with the degree of disability. Methodology: This was a cross-sectional analytical study. Patients admitted to Aga Khan University Hospital, Nairobi, (AKUHN) ICU, were on mechanical ventilation for more than forty-eight hours and survived to hospital discharge were contacted by telephone. Once they were found to be alive and consented for the study, the WHODAS 2.0 questionnaire was used. The level of disability was measured using the WHODAS 2.0 which has 12 items, where each item was scored between 0 and 4; and the total score was displayed as a percentage. Factors associated with the degree of disability were retrieved from the patients’ files. Data analysis was done using SPSS version 2.0. Results: 92 patients were enrolled into the study where 62.6% (n=57) were females. The disability status in our respondents was as follows; n=26 (28.6%) of them had no disability, n=26 (28.6%) mild disability and n=22 (24.2%) had moderate disability, n=17 (18.7%) of the patients reported severe disability while no participant had complete disability. Median age of 60 years and length of ICU stay were found to be associated with moderate to severe disability. Other factors like; duration of mechanical ventilation, number of comorbid, use of muscle relaxant/steroids, admission diagnosis was not found to be statistically significant in relation to degree of disability. Conclusion: In this study, 57.2% of patients had no disability to mild disability while 42.8% were found to have moderate to severe disability. Patients who were found to have moderate to severe disability had longer ICU stay and were in the older population.
VL - 11
IS - 2
ER -

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Author Information

Khadija Ahmed

Department of Anaesthesia, Aga Khan University, Nairobi, Kenya
Vitalis Mung’ayi

Department of Anaesthesia, Aga Khan University, Nairobi, Kenya

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APA Style

Khadija Ahmed, Vitalis Mung’ayi. (2023). Determining the Disability Status of Adult Patients Post General Intensive Care Unit Discharge using the World Health Organization Disability Assessment Schedule 2.0. International Journal of Anesthesia and Clinical Medicine, 11(2), 98-105. https://doi.org/10.11648/j.ijacm.20231102.18

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ACS Style

Khadija Ahmed; Vitalis Mung’ayi. Determining the Disability Status of Adult Patients Post General Intensive Care Unit Discharge using the World Health Organization Disability Assessment Schedule 2.0. Int. J. Anesth. Clin. Med. 2023, 11(2), 98-105. doi: 10.11648/j.ijacm.20231102.18

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AMA Style

Khadija Ahmed, Vitalis Mung’ayi. Determining the Disability Status of Adult Patients Post General Intensive Care Unit Discharge using the World Health Organization Disability Assessment Schedule 2.0. Int J Anesth Clin Med. 2023;11(2):98-105. doi: 10.11648/j.ijacm.20231102.18

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@article{10.11648/j.ijacm.20231102.18,
  author = {Khadija Ahmed and Vitalis Mung’ayi},
  title = {Determining the Disability Status of Adult Patients Post General Intensive Care Unit Discharge using the World Health Organization Disability Assessment Schedule 2.0},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {11},
  number = {2},
  pages = {98-105},
  doi = {10.11648/j.ijacm.20231102.18},
  url = {https://doi.org/10.11648/j.ijacm.20231102.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20231102.18},
  abstract = {Background: Critical care has evolved throughout the years since the polio outbreak when the first intensive care unit (ICU) was set up in the United States of America (USA). There is an increasing number of survivors of critical illness. The survivors have been shown to have prolonged physical, cognitive and psychological impairments. There is a paucity of current information on the status of these patients post ICU in Africa. Objectives: To measure the disability status of adult patients post general Intensive Care Unit (ICU) discharge using the World Health Organization Disability Assessment Schedule (WHODAS) 2.0. To determine the factors associated with the degree of disability. Methodology: This was a cross-sectional analytical study. Patients admitted to Aga Khan University Hospital, Nairobi, (AKUHN) ICU, were on mechanical ventilation for more than forty-eight hours and survived to hospital discharge were contacted by telephone. Once they were found to be alive and consented for the study, the WHODAS 2.0 questionnaire was used. The level of disability was measured using the WHODAS 2.0 which has 12 items, where each item was scored between 0 and 4; and the total score was displayed as a percentage. Factors associated with the degree of disability were retrieved from the patients’ files. Data analysis was done using SPSS version 2.0. Results: 92 patients were enrolled into the study where 62.6% (n=57) were females. The disability status in our respondents was as follows; n=26 (28.6%) of them had no disability, n=26 (28.6%) mild disability and n=22 (24.2%) had moderate disability, n=17 (18.7%) of the patients reported severe disability while no participant had complete disability. Median age of 60 years and length of ICU stay were found to be associated with moderate to severe disability. Other factors like; duration of mechanical ventilation, number of comorbid, use of muscle relaxant/steroids, admission diagnosis was not found to be statistically significant in relation to degree of disability. Conclusion: In this study, 57.2% of patients had no disability to mild disability while 42.8% were found to have moderate to severe disability. Patients who were found to have moderate to severe disability had longer ICU stay and were in the older population.},
 year = {2023}
}

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