NURSING CARE TO SEPSIS SURVIVORS AFTER ICU DISCHARGE
DOI:
https://doi.org/10.47820/recima21.v4i9.4063Keywords:
Sepsis. Intensive Care Unit. Nursing Care. Hospital Discharge.Abstract
Sepsis is defined as an organ dysfunction caused by a dysregulated answer to an infection, and it is configured as a global health issue. Septic patients frequently require Intensive Care Unit (ICU) stay to obtain proper support to the affected functions. After discharge, post-sepsis effects added to ICU stay leave patient vulnerable to complications. Nursing care to survivors of sepsis after ICU discharge is not yet widely described in literature. Considering that context, a systematic review was proposed with the objective to synthesize evidence about nursing care provided to patients discharged from the ICU after an episode of sepsis. Searches were done on the following databases: Cochrane Library, Cinahl, Embase, Lilacs, PubMed and Scopus. All steps were performed by two independent reviewers. 1012 articles were identified, from which 6 were selected for meeting the eligibility criteria. The results of this review showed that survivors of sepsis present different levels of impairment after ICU discharge, including decreased physical, cognitive and psychic functionality. Nursing care provided to survivors of sepsis after discharge were poorly described and were mostly related to assistance in daily activities. It is observed that further studies are relevant to comprehend post-sepsis and post-ICU morbidity, as well as to define effective care programs for reduction of readmission and mortality.
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ANDRADE, L. T. et al. Papel da enfermagem na reabilitação física. Rev Bras Enferm, Brasília, v. 63, n. 6, p. 1056-1060, Nov-Dez. 2010.
BARKER, T.H. et al. The revised JBI critical appraisal tool for the assessment of risk of bias for randomized controlled trials. JBI Evidence Synthesis, v. 21, n. 3, p. 494-506. 2023.
BRANCO, M. J. C. et al. O papel do enfermeiro perante o paciente crítico com sepse. Rev Bras Enfer, v. 73, n. 4, p. 1-8. 2020.
DOWNER, B. et al. Improvement in Activities of Daily Living during a nursing home stay and one-year mortality among older adults with sepsis. J Am Geriatr Soc, v. 69, p. 938-945. 2021.
DOWNES, M.J. et al. Development of a critical appraisal tool to assess the quality of cross-sectional studies (AXIS). BMJ Open, v. 6, p. 1-7. 2016.
EHLENBACH, W. J. et al. Sepsis survivors admitted to skilled nursing facilities: cognitive impairment, Activities of Daily Living dependence, and survival. Critical Care Medicine, v. 46, n. 1, p. 37-44. 2018.
EVANS, L. et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Critical Care Medicine, v. 49, n. 11, p. 1063-1143, Nov. 2021.
FLEISCHMANN-STRUZEK, C. et al. Epidemiology and costs of postsepsis morbidity, nursing care dependency, and mortality in Germany, 2013 to 2017. JAMA Network Open, v. 4, n. 11, p. 1-14. 2021.
FONT, M. D.; THYAGARAJAN, B.; KHANNA, A. K. Sepsis and Septic Shock – Basics of diagnosis, pathophysiology and clinical decision making. Med Clin N Am, v. 104, n. 4, p. 573-585. 2020.
FUKE R. et al. Early rehabilitation to prevent postintensive care syndrome in patients with critical illness: a systematic review and meta-analysis. BMJ Open, v. 8, p. 1-10. 2018.
GALVÃO C. M.; SAWADA N. O.; TREVIZAN M. A. Revisão sistemática: recurso que proporciona a incorporação das evidências na prática da enfermagem. Rev Latino-Am Enfermagem, v. 12, n. 3, p. 549-56. 2004.
INSTITUTO LATINO-AMERICANO DE SEPSE. Implementação de protocolo gerenciado de sepse/protocolo clínico: atendimento ao paciente adulto com sepse/choque séptico. São Paulo: ILAS, 2018.
JARCZAK, D.; KLUGE, S.; NIERHAUS, A. Sepsis – Pathophysiology and Therapeutic Concepts. Frontiers in Medicine, v. 8, p. 1-22. 2021.
LASATER, K. B. et al. Evaluation of Hospital Nurse-to-Patient Staffing Ratios and Sepsis Bundles on Patient Outcomes. Am J Infect Control, n. 49, v. 7, p. 868-873. 2021.
MACHADO, F. R. et al. The epidemiology of sepsis in Brazilian intensive care units (the Sepsis PREvalence Assessment Database, SPREAD): an observational study. Lancet Infect Dis, v. 17, n. 11, p. 1180-1189. 2017.
MOSTEL, Z. et al. Post-sepsis syndrome – an evolving entity that afflicts survivors of sepsis. Molecular Medicine, v. 26, n. 6, p. 1-14. 2020.
NURSING DEFINITIONS. ICN, 2002. Disponível em: https://www.icn.ch/nursing-policy/nursing-definitions
POOL, R.; GOMEZ, H.; KELLUM, J. A. Mechanisms of Organ Dysfunction in Sepsis. Crit Care Clin, v. 34, n. 1, p. 63-80. 2018.
PRESCOTT, H. C. et al. Increased 1-year healthcare use in survivors of severe sepsis. American Journal of Respiratory and Critical Care Medicine, v. 90, n. 1, p. 62-69. 2014.
RAMALHO-NETO, J. M. et al. Concepções de Enfermeiros que Atuam em Unidade de Terapia Intensiva Geral sobre Sepse. Cogitare Enfermagem, v. 20, n.4, p. 712. 2015.
RUDD, K. E. et al. Global, regional, and national sepsis incidence and mortality, 1990-2017: analysis for the Global Burden of Disease Study. Lancet, v. 395, p. 200-211. 2020.
SANTOS, C. M. C.; PIMENTA, C. A. M.; NOBRE, M. R. C. The PICO strategy for the research question construction and evidence search. Revista Latino-Americana de Enfermagem [online], v. 15, n. 3, p. 508-511. 2007.
SCHMIDT, K. F. R. et al. Effect of a primary care management intervention on mental-health-related quality of life among survivors of sepsis: a randomized clinical trial. JAMA, v. 315, n. 24, p. 2703–2711. 2016.
SCHMIDT, K. F. R. et al. Healthcare utilization and costs in sepsis survivors in Germany – Secondary analysis of a prospective cohort study. J. Clin. Med, v. 11, p. 1-17. 2022.
SCHMIDT, K. F. R. et al. Long-term courses of sepsis survivors: effects of a primary care management intervention. The American Journal of Medicine, v. 133, p. 381−385. 2020.
SINGER, M. et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA, v. 315, n. 8, p. 801–810. 2016.
SUN, A. et al. Association between index hospitalization and hospital readmission in sepsis survivors. Critical Care Medicine, v. 44, n. 3, p. 478-487. 2016.
URSI, E. S. Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura. 2005. Dissertação (Mestrado) – Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto.
Van der SLIKKE, E. C. et al. Exploring the pathophysiology of post-sepsis syndrome to identify therapeutic opportunities. EBioMedicine, v. 61, p. 1-9. 2020.
YUAN, C.; TIMMINS, F.; THOMPSON, D. R. Post-intensive care syndrome: A concept analysis. International Journal of Nursing Studies, v. 114, p. 1-9. 2021.
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