Health · Healthcare & Policy · 2 hrs ago

Hidden ICU risks can slow recovery and extend hospital stays

Hidden ICU risks can slow recovery and extend hospital stays

People in intensive care face risks beyond the illness that brought them to hospital.

Long periods of bed rest, severe illness and some medicines can cause muscle loss and weakness.

Fasting or digestive problems may leave patients without enough calories and protein, while illness and unfamiliar surroundings can contribute to confusion and disrupted sleep, especially in older people with neurological conditions.

These problems can delay recovery and extend ICU stays, and may affect time on a ventilator, survival and a patient's ability to resume daily activities after leaving hospital.

Patients are also vulnerable to hospital infections because tubes and catheters can bypass the body's natural defenses, and some infections are caused by antibiotic-resistant bacteria.

Frequent or indiscriminate antibiotic use can favor the spread of resistant bacteria, making some infections harder to treat.

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Amanda Pascoal ValleAdult ICU coordinator at Hospital Municipal Gilson de Cássia Marques de Carvalho
These issues can prolong recovery, increase the length of ICU stays and the time on mechanical ventilation, as well as affect patient mortality and compromise their return to daily activities after hospital discharge.
via Folha
Adriano José PereiraMedical coordinator of Einstein’s Tele-ICU
It is a paradox: the hospital, which is a place of healing, also ends up being an environment that can perpetuate disease, by bringing together different microorganisms, including some that do not exist outside it.
via Folha
These bacteria are on bed rails, monitor buttons, the hands of staff and hospital equipment. Everything can serve as a means for them to reach the human body, break through our natural barriers and spread in an infection.
via Folha