{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T09:03:11Z","timestamp":1789981391249,"version":"4.0.1"},"reference-count":48,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n While sepsis survival rates have improved, long\u2010term consequences remain under\u2010recognised and support services limited. Survivors often face persistent physical, cognitive and psychological impairments that diminish their quality of life.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n To investigate the long\u2010term health outcomes and sequelae experienced by survivors of critical care\u2010treated sepsis and septic shock.<\/jats:p>\n <\/jats:sec>\n \n Design\/Methods<\/jats:title>\n Adapting the Mid\u2010German Sepsis Cohort protocol to the Irish context, this prospective longitudinal study spanned five acute hospitals. Participants were adults surviving critical care\u2010treated sepsis. In\u2010hospital data consisted of three stages: onset, critical care discharge and hospital discharge. Follow\u2010up surveys at 3, 6 and 12\u2009months assessed quality of life, post\u2010traumatic stress, depression, fatigue, activities of daily living, medico\/socio\u2010economic factors, healthcare utilisation and other sepsis sequelae. Data were collected 10th June 2020 to 15th May 2023. Data analysis was descriptive with use of repeated measures ANOVA using Statistical Package for the Social Sciences version 26.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of 81 survivors (69.1% with septic shock), median age was 60 and hospital stay was 32\u2009days. At 12\u2009months, employment remained below pre\u2010sepsis levels. Physical impairments, especially fatigue were common. Over half reported cognitive issues, such as memory disturbance, while psychological symptoms like anxiety, depression and sleep disorders remained prevalent. General Practitioners were the most frequently accessed source of post\u2010sepsis support.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Aligned with international evidence: sepsis survivors face high rates of multi\u2010dimensional impairment, highlighting the need for integrated, multidisciplinary support systems and strengthened post\u2010discharge care pathways.<\/jats:p>\n <\/jats:sec>\n \n Impact<\/jats:title>\n \n \n \n Lasting physical, psychological and cognitive impacts highlight gaps in recovery structures.<\/jats:p>\n <\/jats:list-item>\n \n Recommendations to improve survivorship care.<\/jats:p>\n <\/jats:list-item>\n \n Raises awareness for survivors, practitioners and policymakers.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Reporting<\/jats:title>\n Followed STROBE guidelines.<\/jats:p>\n <\/jats:sec>\n \n Global Contribution<\/jats:title>\n This research underscores the one\u2010year impact of sepsis with recommendations for improving post\u2010discharge support.<\/jats:p>\n <\/jats:sec>\n \n Patient\/Public Involvement<\/jats:title>\n Initially planned to engage with a patient forum; however, this was not possible due to restrictions during the COVID\u201019 pandemic.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jan.70718","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T08:12:56Z","timestamp":1789978376000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Long\u2010Term Outcomes in Sepsis Survivors: A Prospective Cohort Study Across Acute Hospitals"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2534-3148","authenticated-orcid":false,"given":"Katie","family":"O'Byrne","sequence":"first","affiliation":[{"name":"HSE Dublin and Midlands: Bridgewater House, Bridgewater Business Centre Dublin 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Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8604-9559","authenticated-orcid":false,"given":"Elaine","family":"Harris","sequence":"additional","affiliation":[{"name":"Nurse Practice Development Department Naas General Hospital Naas, Kildare Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3085-6651","authenticated-orcid":false,"given":"Christina","family":"Lydon","sequence":"additional","affiliation":[{"name":"School of Nursing & Midwifery University of Galway Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7748-9771","authenticated-orcid":false,"given":"Fiona","family":"Moore","sequence":"additional","affiliation":[{"name":"Nurse and Midwifery Practice Development Department Midland Regional Hospital Portlaoise Laois 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