Improving Long-Term Outcomes After Sepsis

Crit Care Clin. 2018 Jan;34(1):175-188. doi: 10.1016/j.ccc.2017.08.013. Epub 2017 Oct 5.

Abstract

Although acute survival from sepsis has improved in recent years, a large fraction of sepsis survivors experience poor long-term outcomes. In particular, sepsis survivors have high rates of weakness, cognitive impairment, hospital readmission, and late death. To improve long-term outcomes, in-hospital care should focus on early, effective treatment of sepsis; minimization of delirium, distress, and immobility; and preparing patients for hospital discharge. In the posthospital setting, medical care should focus on addressing new disability and preventing medical deterioration, providing a sustained period out of the hospital to allow for recovery.

Keywords: Anxiety; Cognitive impairment; Depression; Physical disability; Re-hospitalization; Stress.

Publication types

  • Review

MeSH terms

  • Follow-Up Studies
  • Humans
  • Quality of Life*
  • Sepsis / therapy*
  • Survivors*
  • Time Factors
  • Treatment Outcome