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01.09.2012 | original article

Health-related quality of life of long-term survivors of intensive care: changes after intensive care treatment

Experience of an Austrian intensive care unit

verfasst von: Peter Schenk, MD, MSc, Joanna Warszawska, MD, Valentin Fuhrmann, MD, Franz König, PhD, Christian Madl, MD, Klaus Ratheiser, MD

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 17-18/2012

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Summary

Objective

The aim of the study was to determine if health-related quality of life of long-term survivors changes 24 months after intensive care treatment compared to the quality of life before admission.

Methods

From 281 patients treated at the ICU in 2001, 132 survivors were contacted by phone on average 24 months after discharge. Fernandez questionnaire was used to assess preadmission quality of life prospectively and postdischarge quality of life, retrospectively. In addition, age, sex, admission diagnosis, ICU length of stay, presence of organ failure, and necessity of mechanical ventilation were determined.

Results

In the 101 ICU survivors who responded to the questionnaire, the total score of quality of life did not change significantly over time (5.48 ± 5.3 before admission vs. 5.6 ± 5.8 at follow-up; p = 0.9). Similarly, the performance of normal daily activities did not alter (3.0 ± 3.5 vs. 3.39 ± 3.6; p = 0,3). In contrast, the ability to perform basic physiological activities worsened significantly (0.39 ± 0.76 vs. 0.76 ± 1.52; p = 0.037), whereas the emotional state improved significantly after intensive care treatment (2.08 ± 1.78 vs. 1.46 ± 1.56, p = 0.003). In a stepwise multiple regression analysis the total score of quality of life before admission was the only variable which influenced the quality of life 2 years after ICU-stay.

Conclusions

In the interviewed population the total score of health-related quality of life did not change after intensive care treatment. Surprisingly, emotional state improved significantly although physical performance decreased. Quality of life after ICU discharge was predominantly influenced by preadmission quality of life. However, these results are not reflective of all ICU survivors.

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Halpern NA, Pastores SM, Greenstein RJ. Critical care medicine in the United States 1985–2000: an analysis of bed numbers, use, and costs. Crit Care Med. 2004;32:1254–9.PubMedCrossRef

Angus DC, Barnato AE, Linde-Zwirble WT, et al. Use of intensive care at the end of life in the United States: an epidemiologic study. Crit Care Med. 2004;32:638–43.PubMedCrossRef

Dowdy DW, Eid MP, Dennison CR, et al. Quality of life after acute respiratory distress syndrome: a meta-analysis. Intensive Care Med. 2006;32:1115–24.PubMedCrossRef

Herridge MS, Cheung AM, Tansey CM, et al. One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J Med. 2003; 348:683–93.PubMedCrossRef

Maynard SE, Whittle J, Chelluri L, Arnold R. Quality of life and dialysis decisions in critically ill patients with acute renal failure. Intensive Care Med. 29; 2003:1589–93.PubMedCrossRef

Pettila V, Kaarlola A, Makelainen A. Health-related quality of life of multiple organ dysfunction patients one year after intensive care. Intensive Care Med. 2000;26:1473–9.PubMedCrossRef

Flaatten H, Kvale R. Survival and quality of life 12 years after ICU. A comparison with the general Norwegian population. Intensive Care Med. 2001;27:1005–11.PubMedCrossRef

Schelling G, Stoll C, Haller M, Briegel J, et al. Health-related quality of life and posttraumatic stress disorder in survivors of the acute respiratory distress syndrome. Crit Care Med. 1998;26:651–9.PubMedCrossRef

Niskanen M, Ruokonen E, Takala J, Rissanen P, Kari A. Quality of life after prolonged intensive care. Crit Care Med. 1999;27:1132–9.PubMedCrossRef

10.

Ahlstrom A, Tallgren M, Peltonen S, Rasanen P, Pettila V. Survival and quality of life of patients requiring acute renal replacement therapy. Intensive Care Med. 2005;31:1222–28.PubMedCrossRef

11.

Wehler M, Geise A, Hadzionerovic D, et al. Health-related quality of life of patients with multiple organ dysfunction: individual changes and comparison with normative population. Crit Care Med. 2003;31:1094–1101.PubMedCrossRef

12.

Graf J, Koch M, Dujardin R, Kersten A, Janssens U. Health-related quality of life before, 1 month after, and 9 months after intensive care in medical cardiovascular and pulmonary patients. Crit Care Med. 2003;31:2163–9.PubMedCrossRef

13.

Weinert CR, Gross CR, Kangas JR, Bury CL, Marinelli WA. Health-related quality of life after acute lung injury. Am J Respir Crit Care Med. 1997;156:1120–8.PubMed

14.

Cheung AM, Tansey CM, Tomlinson G, et al. Two-year outcomes, health care use, and costs of survivors of acute respiratory distress syndrome. Am J Respir Crit Care Med. 2006;174:538–44.PubMedCrossRef

15.

Dowdy DW, Eid MP, Sedrakyan A, et al. Quality of life in adult survivors of critical illness: a systematic review of the literature. Intensive Care Med. 2005;31:611–20.PubMedCrossRef

16.

Chelluri L, Im KA, Belle SH, et al. Long-term mortality and quality of life after prolonged mechanical ventilation. Crit Care Med. 2004;32:61–9.PubMedCrossRef

17.

Konopad E, Noseworthy TW, Johnston R, Shustack A, Grace M. Quality of life measures before and one year after admission to an intensive care unit. Crit Care Med. 1995;23:1653–9.PubMedCrossRef

18.

Badia X, Diaz-Prieto A, Gorriz MT, et al. Using the EuroQol-5D to measure changes in quality of life 12 months after discharge from an intensive care unit. Intensive Care Med. 2001;27:1901–07.PubMedCrossRef

19.

Montuclard L, Garrouste-Orgeas M, Timsit JF, Misset B, De Jonghe B, Carlet J. Outcome, functional autonomy, and quality of life of elderly patients with a long-term intensive care unit stay. Crit Care Med. 2000;28:3389–95.PubMedCrossRef

20.

Short TG, Buckley TA, Rowbottom MY, Wong E, Oh TE. Long-term outcome and functional health status following intensive care in Hong Kong. Crit Care Med. 1999;27:51–7.PubMedCrossRef

21.

Flaatten H, Ulvik A. Quality of life after intensive care in trauma patients. Minerva Anestesiol. 2006;72:479–81.PubMed

22.

Vazquez Mata G, Rivera Fernandez R, Perez Aragon A, et al. Analysis of quality of life in polytraumatized patients two years after discharge from an intensive care unit. J Trauma. 1996;41:326–32.PubMedCrossRef

23.

Rivera-Fernandez R, Navarrete-Navarro P, Fernandez-Mondejar E, Rodriguez-Elvira M, Guerrero-Lopez F, Vazquez-Mata G. Six-year mortality and quality of life in critically ill patients with chronic obstructive pulmonary disease. Crit Care Med. 2006;34:2317–24.PubMedCrossRef

24.

Rivera Fernandez R, Sanchez Cruz, JJ, Vazquez Mata G. Validation of a quality of life questionnaire for critically ill patients. Intensive Care Med. 1996;22:1034–42.CrossRef

25.

Kaarlola A, Tallgren M, Pettila V. Long-term survival, quality of life, and quality-adjusted life-years among critically ill elderly patients. Crit Care Med. 2006;34:2120–6.PubMedCrossRef

26.

Eddleston JM, White P, Guthrie E. Survival, morbidity, and quality of life after discharge from intensive care. Crit Care Med. 2000;28:2293–9.PubMedCrossRef

27.

Marchesini G, Bianchi G, Amodio P, et al. Factors associated with poor health-related quality of life of patients with cirrhosis. Gastroenterology 2001;120:170–8.PubMedCrossRef

28.

Schuppan D, Afdhal NH. Liver cirrhosis. Lancet 2008;371:838–51.PubMedCrossRef

29.

Vazquez Mata G, Rivera Fernandez R, Gonzalez Carmona A, et al. Factors related to quality of life 12 months after discharge from an intensive care unit. Crit Care Med. 1992;20:1257–62.PubMedCrossRef

30.

Rivera-Fernandez R, Sanchez-Cruz JJ, Abizanda-Campos R, Vazquez-Mata G. Quality of life before intensive care unit admission and its influence on resource utilization and mortality rate. Crit Care Med. 2001;29:1701–9.PubMedCrossRef

31.

Hurel D, Loirat P, Saulnier F, Nicolas F, Brivet F. Quality of life 6 months after intensive care: results of a prospective multicenter study using a generic health status scale and a satisfaction scale. Intensive Care Med. 1997;23:331–7.PubMedCrossRef

Titel: Health-related quality of life of long-term survivors of intensive care: changes after intensive care treatment
Experience of an Austrian intensive care unit
verfasst von: Peter Schenk, MD, MSc
Joanna Warszawska, MD
Valentin Fuhrmann, MD
Franz König, PhD
Christian Madl, MD
Klaus Ratheiser, MD
Publikationsdatum: 01.09.2012
Verlag: Springer Vienna
Erschienen in: Wiener klinische Wochenschrift / Ausgabe 17-18/2012
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI: https://doi.org/10.1007/s00508-012-0224-z

Springer Medizin Österreich

Summary

Objective

Methods

Results

Conclusions

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