Quality of Life of Adult Survivors After Extra Corporeal Membrane Oxygenation (ECMO) A Quantitative Study

被引:19
作者
Galazzi, Alessandro [1 ]
Brambilla, Alessandra [2 ]
Grasselli, Giacomo [3 ,4 ]
Pesenti, Antonio [4 ,5 ]
Fumagalli, Roberto [6 ,7 ]
Lucchini, Alberto [8 ,9 ,10 ]
机构
[1] Osped Maggiore Policlin Milan, Fondazione IRCCS Ca Granda, Dipartimento Anestesia Rianimaz & Emergenza, Gen Intens Care Unit,Area Terapie Intens, Milan, Italy
[2] Osped Maggiore Policlin Milan, Fondazione IRCCS Ca Granda, Dipartimento Anestesia Rianimaz & Emergenza, Area Terapie Intens, Milan, Italy
[3] Osped Maggiore Policlin Milan, Fondazione IRCCS Ca Granda, Dipartimento Anestesia Rianimaz & Emergenza, Intens Care Unit,Area Terapie Intens, Milan, Italy
[4] Univ Studi Milano, Dipartimento Fisiopatol Med Chirurg & Trapianti, Milan, Italy
[5] Osped Maggiore Policlin Milan, Fondazione IRCCS Ca Granda, Dipartimento Anestesia Rianimaz & Emergenza, Intens Care Unit, Milan, Italy
[6] Univ Milano Bicocca, Milan, Italy
[7] Osped Niguarda Ca Granda, Dept Anesthesia & Intens Care Med, Milan, Italy
[8] ASST Monza Osped S Gerardo, Gen Intens Care Unit, Milan, Italy
[9] Univ Milano Bicocca, Intens Care, Milan, Italy
[10] San Gerardo Hosp, Gen Intens Care Unit, Via Pergolesi 33, Monza, Italy
关键词
ECLS; ECMO; EQ-5D; Follow up; Quality of life;
D O I
10.1097/DCC.0000000000000278
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Introduction: Extracorporeal Membrane Oxygenation (ECMO) is a technique used in the treatment of patients with severe respiratory failure. A lot of studies in the literature investigated the survival rate of patients treated with ECMO, but few are those that assess the long-term outcomes and the quality of life (QoL) of survivors. Materials and Methods: A retrospective observational study with prospective QoL assessment through administration of the questionnaire EuroQol-5 Dimension was conducted in acute respiratory distress syndrome patients who h ad ECMO as a rescue therapy for reversible refractory hypoxemia from January 2013 until December 2015 in an Italian referral ECMO center. Results: Forty patients were enrolled, but the telephone interview was possible only in 17. The interviewed patients presented a reduction in QoL in the items concerning pain (59%), followed by problems regarding mobility (47%) and anxiety (47%). The patients" perceived QoL, showed in a 0 to 100 scale (0 being the worst, 100 being the best value), is of 75% (interquartile range, 70-80). Discussion: The problems found are in agreement with the literature about this particular type of patients. Conclusion: Most ECMO patients have good physical and social functioning after hospital discharge.
引用
收藏
页码:12 / 17
页数:6
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