Format

Send to

Choose Destination
See comment in PubMed Commons below
Intensive Care Med. 2003 Aug;29(8):1286-93. Epub 2003 Jul 8.

Long-term outcome in ICU patients: what about quality of life?

Author information

1
Department of Intensive Care, Erasme Hospital, Free University of Brussels, Route de Lennik 808, 1070, Brussels, Belgium.

Abstract

OBJECTIVE:

Analysis of mortality and quality of life (QOL) after intensive care unit (ICU) discharge.

DESIGN:

Prospective, observational study.

SETTING:

Mixed, 31-bed, medico-surgical ICU.

PATIENTS:

Consecutive adult ICU admissions between June 25 and September 10, 2000, except admissions for uncomplicated elective postoperative surveillance. INTERVENTIONS. None.

MEASUREMENTS AND RESULTS:

Age, past history, admission APACHE II, SOFA score (admission, maximum, discharge), ICU and hospital mortality were recorded. A telephone interview employing the EuroQol 5D system was conducted 18 months after discharge. Of 202 patients, 34 (16.8%) died in the ICU and 23 (11.4%) died in the hospital after ICU discharge. Of the 145 patients discharged alive from hospital, 22 could not be contacted and 27 (13.4%) had died after hospital discharge. Of the 96 patients (47.5%) who completed the questionnaire, 38% had a worse QOL than prior to ICU admission, but only 8.3% were severely incapacitated. Twenty-three patients (24%) had reduced mobility, 15 (15.6%) had limited autonomy, 24 (25%) had alteration in usual daily activities, 29 (30.2%) expressed more anxiety/depression, and 42 (44%) had more discomfort or pain. Twenty-eight (62.2% of those who worked previously) patients had returned to work 18 months after ICU discharge.

CONCLUSIONS:

Comparing QOL after discharge with that before admission, patients more frequently report worse QOL for the domains of pain/discomfort and anxiety/depression than for physical domains. Factors commonly associated with a change in QOL were previous problems in the affected domains, prolonged hospital length of stay (LOS), greater disease severity at admission and degree of organ dysfunction during ICU stay.

PMID:
12851765
DOI:
10.1007/s00134-003-1875-z
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Springer
    Loading ...
    Support Center