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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

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.

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

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

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

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

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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