Life after sepsis - is it worth living?

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Life after sepsis – is it worth living? Professor Simon Finfer MBBS FAHMS FRCP FRCA FCICM DrMed [email protected] @icuresearch Royal North Shore Hospital

Transcript of Life after sepsis - is it worth living?

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Life after sepsis – is it worth living?Professor Simon Finfer MBBS FAHMS FRCP FRCA FCICM DrMed

[email protected]@icuresearch

Royal North Shore Hospital

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Sepsis: Life threatening condition that arises when the body’s response to infection damages the

patient’s tissues and organs

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Beyond hospital discharge …

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The price for success?

Iwashyna and Angus JAMA 2014

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What about the survivors?

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What about the survivors?

Prevalence of moderate/severe cognitive impairment increased >10%

High rate of new functional impairments

Declines in cognitive/functional impairment persisted > 8 years

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The lingering consequences of sepsis

Longitudinal analysis of the Health and Retirement Study3-fold increase in moderate/severe cognitive impairment3-fold increase in physical function impairment

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Neurocognitive defects

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PSS = PICS or different?

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Life after sepsis – post-sepsis care

http://reaching4korina.com.au

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