Health-related quality of life after general surgical intensive care

被引:10
作者
Vogel, G. [1 ]
Forinder, U. [2 ]
Sandgren, A. [3 ]
Svensen, C. [1 ]
Joelsson-Alm, E. [1 ]
机构
[1] Soder Sjukhuset, Karolinska Inst, Dept Clin Sci & Educ, Unit Anaesthesiol & Intens Care, Stockholm, Sweden
[2] Univ Gavle, Fac Hlth & Occupat Studies, Gavle, Sweden
[3] Linnaeus Univ, Dept Hlth & Caring Sci, Ctr Collaborat Palliat Care, Vaxjo, Sweden
关键词
critical care; health related quality of life; intensive care unit; SF-36; CRITICAL ILLNESS; UNIT STAY; ADMISSION; DISCHARGE; SURVIVORS; OUTCOMES; SURGERY; STRESS; SF-36;
D O I
10.1111/aas.13139
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
BackgroundImpaired mental and physical health are common complications after intensive care that could influence the patient's health-related quality of life (HRQoL). Earlier research has mainly focused on HRQoL in mixed surgical and medical ICU populations. This study aimed to describe and analyze factors associated with HROoL after discharge from a general surgical ICU. MethodsA prospective cohort study was conducted in a general surgical ICU in Sweden between 2005 and 2012. Adult patients (18years) with an ICU length of stay 96hours were included. HRQoL was measured at 3, 6, and 12months after discharge from the ICU using a questionnaire (SF-36). A linear mixed model was used to analyze changes over time and Wilcoxon Signed Rank Tests were used to compare the 12-months results to an age and gender matched reference population in Sweden. Linear regression analyses were performed to explore the impact on HRQoL from background variables. ResultsOf 447 patients eligible for the study, 276 patients (62%) answered SF-36 at least once at 3, 6 or 12months after ICU care and were included in the study. HRQoL improved over time but was still significantly lower at 12months compared to the reference population. Female gender, age <75years, living single, and ICU-stay of more than 14days were associated with lower HRQoL. ConclusionGeneral surgical ICU patients reports low HRQoL 1year after ICU stay. The impaired HRQoL could be a long-lasting problem with major consequences for the individual, family, and society.
引用
收藏
页码:1112 / 1119
页数:8
相关论文
共 33 条
[1]   Quality of life after stay in surgical intensive care unit [J].
Abelha F.J. ;
Santos C.C. ;
Maia P.C. ;
Castro M.A. ;
Barros H. .
BMC Anesthesiology, 7 (1)
[2]   Quality of life before surgical ICU admission [J].
Abelha F.J. ;
Santos C.C. ;
Barros H. .
BMC Surgery, 7 (1)
[3]   Long-term survival and quality of life after intensive care for patients 80 years of age or older [J].
Andersen, Finn H. ;
Flaatten, Hans ;
Klepstad, Pal ;
Romild, Ulla ;
Kvale, Reidar .
ANNALS OF INTENSIVE CARE, 2015, 5
[4]   Quality of life before intensive care admission: agreement between patient and relative assessment [J].
Capuzzo, M ;
Grasselli, C ;
Carrer, S ;
Gritti, G ;
Alvisi, R .
INTENSIVE CARE MEDICINE, 2000, 26 (09) :1288-1295
[5]   Survival, morbidity, and quality of life after discharge from intensive care [J].
Eddleston, JM ;
White, P ;
Guthrie, E .
CRITICAL CARE MEDICINE, 2000, 28 (07) :2293-2299
[6]   Mental and physical disorders after ICU discharge [J].
Flaatten, Hans .
CURRENT OPINION IN CRITICAL CARE, 2010, 16 (05) :510-515
[7]   Quality of life on admission to the intensive care: can we query the relatives? [J].
Hofhuis, J ;
Hautvast, JLA ;
Schrijvers, AJP ;
Bakker, J .
INTENSIVE CARE MEDICINE, 2003, 29 (06) :974-979
[8]   ICU survivors show no decline in health-related quality of life after 5 years [J].
Hofhuis, Jose G. M. ;
van Stel, Henk F. ;
Schrijvers, Augustinus J. P. ;
Rommes, Johannes H. ;
Spronk, Peter E. .
INTENSIVE CARE MEDICINE, 2015, 41 (03) :495-504
[9]   Quality of life six years after intensive care [J].
Kaarlola, A ;
Pettilä, V ;
Kekki, P .
INTENSIVE CARE MEDICINE, 2003, 29 (08) :1294-1299
[10]   Impact of socioeconomic status and subjective social class on overall and health-related quality of life [J].
Kim, Jae-Hyun ;
Park, Eun-Cheol .
BMC PUBLIC HEALTH, 2015, 15