Quality of life before and after intensive care

Anaesthesia - Tập 60 Số 4 - Trang 332-339 - 2005
B. H. Cuthbertson1, J. M. Scott2, Mary Strachan2, Mary Kilonzo3, Luke Vale4
1Clinical Senior Lecturer, Health Services Research Unit, Institute of Applied Health Sciences, University of Aberdeen, Foresterhill, Aberdeen
2Research Nurse, Intensive Care Unit, Aberdeen Royal Infirmary, Westburn Road, Foresterhill, Aberdeen
3Research Fellow.
4Senior Research Fellow, Health Economics Research Unit & Health Service Research Unit, University of Aberdeen, Foresterhill, Aberdeen, UK

Tóm tắt

Summary

Quality of life is often thought to be poor before and after intensive care unit admission. The aim of this study was to investigate changes in quality of life before and after intensive care. A prospective cohort study of 300 consecutive patients admitted to intensive care was performed in a Scottish Teaching Hospital. Quality of life was assessed premorbidly and 3, 6 and 12 months after intensive care admission for surviving patients using SF‐36 as well as EQ‐5D scores at 12 months. The median value for age was 60.5 years and for APACHE II score, 18. The mean length of stay was 6.7 days. SF‐36 physical component scores decreased from premorbid values at 3 months (p = 0.05) and then returned to premorbid values at 12 months (p < 0.001). The mean physical scores were below the population norm at all time points but the mean mental scores were similar or higher than these population norms. Patients who died after intensive care discharge had lower quality of life scores than did survivors (all p < 0.01). Poor premorbid quality of life was demonstrated and appears to reduce after ICU discharge. For survivors there was a slow increase in physical quality of life to premorbid levels by the end of the first year but these remained lower than in the general population. ICU patients experience a considerable longer‐term burden of ill health.

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Anaesthesia

Tập 60 Số 4

332-339

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