life after sepsis - is it worth living?
TRANSCRIPT
Life after sepsis – is it worth living?Professor Simon Finfer MBBS FAHMS FRCP FRCA FCICM DrMed
[email protected]@icuresearch
Royal North Shore Hospital
Sepsis: Life threatening condition that arises when the body’s response to infection damages the
patient’s tissues and organs
Beyond hospital discharge …
The price for success?
Iwashyna and Angus JAMA 2014
What about the survivors?
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
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
Neurocognitive defects
PSS = PICS or different?
Life after sepsis – post-sepsis care
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