Rachel Mullins
University of MIssissippi Medical Center
Jackson, MS
Disclosure information not submitted.
Katherine Artman, PharmD, BCCCP
Clinical Pharmacist
University of Mississippi Medical Center, United States
Disclosure information not submitted.
Joseph Brewer, DO
Assistant Professor
University of Mississippi Medical Center, United States
Disclosure information not submitted.
Title: Initial WHODAS 2.0 Scores in Patients with Post-intensive Care Syndrome (PICS)
Introduction: Survivors of critical illness and intensive care unit (ICU) admission may be discharged with new or worsening impairments in physical function, mental health, or cognition, which is recognized as post-intensive care syndrome (PICS). The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is an instrument that measures disability by asking questions about functional difficulties within six domains of life. We use the 36-item version, self-administered form of this assessment in our ICU Recovery Clinic after discharge. Patients answer questions on a 5-point scale: 1=no functional difficulty, 2=mild, 3=moderate, 4=severe, and 5=extreme difficulty. This study presents initial WHODAS 2.0 results in our clinic.
Methods: Patients completed the assessment at their initial clinic visit. Summary scores were computed using a “simple scoring” method, and compiled into an excel spreadsheet where medians for raw domain scores were calculated.
Results: Thirteen patients completed the assessment of which 7 (54%) were males with a median age of 48 years (interquartile range [IQR] 38.5-71 years). The median scores for each domain were: Understanding and Communicating 13 (IQR 9.5-13.5), Getting Around 15 (IQR 12.5-18), Self-Care 10 (IQR 4.5-12.5), Getting Along with People 7 (IQR 5.5-10.5), Life Activities-Household 10 (IQR 5-15.5), Life Activities-School/Work 12 (IQR 2-20), Participation in Society 24 (IQR 19-29.5). Two patients did not work, therefore their scores for the Life Activities-School/Work section are the lowest possible at 4, and may interfere with results.
Conclusions: Patients seen in our ICU Recovery Clinic after discharge reported the most difficulties in the WHODAS 2.0 domains of “Participation in Society” and “Getting Around.” These findings reinforce the importance for a multidisciplinary approach in improving functional status in patients with PICS, specifically physical and occupational rehabilitation, psychology, and social work.