4.3 Article

Short-term Gains with Long-term Consequences The Evolving Story of Sepsis Survivorship

Journal

CLINICS IN CHEST MEDICINE
Volume 37, Issue 2, Pages 367-380

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.ccm.2016.01.017

Keywords

Sepsis; Cognitive impairment; Physical impairment; Infection; Hospital readmission; Critical care

Funding

  1. National Institutes of Health (NINR [National Institute of Nursing Research] [R01NR016014]
  2. National Heart, Lung, and Blood Institute (NIH NHLBI) Loan Repayment Program, Bethesda, MD

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Sepsis is an acute, life-threatening condition that afflicts millions of patients annually. Advances in care and heightened awareness have led to substantial declines in short-term mortality. An expanding body of literature describes the long-term impact of sepsis, revealing long-term cognitive and functional impairments, sustained inflammation and immune dysfunction, increased healthcare resource use, reduced health-related quality of life, and increased mortality. The evidence challenges the notion that sepsis is an acute, transient illness, revealing rather that sepsis is an acute illness with lingering consequences. This article provides a state-of-the-art review of the emerging literature of the long-term consequences of sepsis.

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