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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/46824
Title: Experiences of ICU survivors in a low middle income country-A multicenter study
Authors: Lalitha Pieris
Ponsuge Chathurani Sigera
Ambepitiyawaduge Pubudu De Silva
Sithum Munasinghe
Aasiyah Rashan
Priyantha Lakmini Athapattu
Kosala Saroj Amarasiri Jayasinghe
Kerstein Samarasinghe
Abi Beane
Arjen M. Dondorp
Rashan Haniffa
Ministry of Health Colombo
University of Colombo Faculty of Medicine
University of Oxford
Mahidol University
Högskolan Kristianstad
Network for Improving Critical Care Systems and Training
Sri Lanka Telecom
Intensive Care National Audit and Research Centre
Keywords: Medicine
Issue Date: 21-Mar-2018
Citation: BMC Anesthesiology. Vol.18, No.1 (2018)
Abstract: © 2018 The Author(s). Background: Stressful patient experiences during the intensive care unit (ICU) stay is associated with reduced satisfaction in High Income Countries (HICs) but has not been explored in Lower and Middle Income Countries (LMICs). This study describes the recalled experiences, stress and satisfaction as perceived by survivors of ICUs in a LMIC. Methods: This follow-up study was carried out in 32 state ICUs in Sri Lanka between July and December 2015.ICU survivors' experiences, stress factors encountered and level of satisfaction were collected 30 days after ICU discharge by a telephone questionnaire adapted from Granja and Wright. Results: Of 1665 eligible ICU survivors, 23.3% died after ICU discharge, 49.1% were uncontactable and 438 (26.3%) patients were included in the study. Whilst 78.1% (n =349) of patients remembered their admission to the hospital, only 42.3% (n =189) could recall their admission to the ICU. The most frequently reported stressful experiences were: being bedridden (34.2%), pain (34.0%), general discomfort (31.7%), daily needle punctures (32.9%), family worries (33.6%), fear of dying and uncertainty in the future (25.8%). The majority of patients (376, 84.12%) found the atmosphere of the ICU to be friendly and calm. Overall, the patients found the level of health care received in the ICU to be "very satisfactory" (93.8%, n =411) with none of the survivors stating they were either "dissatisfied" or "very dissatisfied". Conclusion: In common with HIC, survivors were very satisfied with their ICU care. In contrast to HIC settings, specific ICU experiences were frequently not recalled, but those remembered were reported as relatively stress-free. Stressful experiences, in common with HIC, were most frequently related to uncertainty about the future, dependency, family, and economic concerns.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85044286827&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/46824
ISSN: 14712253
Appears in Collections:Scopus 2018

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