Factors that can be identified on admission or during the ICU stay:
(1) older age
(2) longer ICU stay
(3) higher SAP II score
(4) non-scheduled surgery
(5) multiple trauma
(6) dreams and nightmares during ICU stay
(7) significant stressors during ICU stay
where:
• Several of these factors related to higher severity of disease at ICU admission (longer ICU stay, high SAP II score).
• The criteria for older age was not specified. For the implementation I will use > 60 years of age.
Factors that may be reported after discharge:
(1) disturbed sleep
(2) daily dreams and nightmares
(3) difficulty concentrating
(4) difficulty remembering (memory lapses)
(5) amnesia about ICU stay
(6) fatigue and/or failure to fully recover to pre-admission level of activity
where:
• The evaluation after discharge was done at 6 months. The goal is to identify persistent problems rather than transient reactions.
The presence of multiple factors can help identify a patient who may benefit from a more in-depth evaluation and targeted interventions.
