SCCM Resource Library-August Journal Club: Critical Care Medicine (2020)

Video Transcription

Video Summary

In this Journal Club webcast, two articles from the August issue of Critical Care Medicine were discussed. The first article, titled "Financial Toxicity After Acute Respiratory Distress Syndrome: A National Qualitative Cohort Study," explored the financial burdens experienced by patients after critical illness. The study found that many patients experienced high levels of financial stress, including significant medical bills, insurance coverage issues, income losses, and depletion of savings. The financial burdens led to emotional distress, limited follow-up care, and reliance on others for financial support. The study suggested that healthcare providers should provide anticipatory guidance and counseling about the potential costs of post-critical illness care, and help patients identify available assistance and support programs. The second article, titled "Development of Persistent Respiratory Morbidity in Previously Healthy Children After Acute Respiratory Failure," examined the long-term respiratory outcomes in previously healthy children who required mechanical ventilation for acute respiratory failure. The study found that nearly half of the children experienced persistent respiratory morbidity up to a year after their illness, characterized by ongoing respiratory symptoms, medication use, and healthcare visits. The study identified factors such as pulmonary dysfunction at discharge and positive respiratory bacterial culture as predictors of persistent respiratory morbidity. The authors suggested that children and their families should receive anticipatory guidance about potential respiratory limitations, and that a multidisciplinary approach involving rehabilitation specialists and coordinated follow-up care is necessary to improve long-term outcomes. Overall, both studies highlight the importance of addressing the financial and medical burdens faced by patients and their families after critical illness, and provide insights into potential strategies for better support and care.

Asset Subtitle

Pulmonary, 2020

Asset Caption

"The Journal Club: Critical Care Medicine webcast series focuses on articles of interest from Critical Care Medicine.

This series is held on the fourth Thursday of each month and features in-depth presentations and lively discussion by the authors.

Follow the conversation at #CritCareMed."

Meta Tag

Content Type Webcast

Knowledge Area Pulmonary

Knowledge Area Acute Respiratory Distress Syndrome ARDS

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Membership Level Professional

Membership Level Associate

Year 2020

Keywords

Journal Club webcast

Critical Care Medicine

financial toxicity

acute respiratory distress syndrome

patients

financial burdens

respiratory morbidity

previously healthy children

mechanical ventilation

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