Information de reference pour ce titreAccession Number: | 00000524-200504000-00003.
|
Author: | Cuthbertson, B. H. 1; Scott, J. 2; Strachan, M. 2; Kilonzo, M. 3; Vale, L. 4
|
Institution: | (1)Clinical Senior Lecturer, Health Services Research Unit, Institute of Applied Health Sciences, University of Aberdeen, Foresterhill, Aberdeen, UK (2)Research Nurse, Intensive Care Unit, Aberdeen Royal Infirmary, Westburn Road, Foresterhill, Aberdeen, UK (3)Research Fellow, Health Economics Research Unit & Health Service Research Unit, University of Aberdeen, Foresterhill, Aberdeen, UK (4)Senior Research Fellow, Health Economics Research Unit & Health Service Research Unit, University of Aberdeen, Foresterhill, Aberdeen, UK
|
Title: | |
Source: | Anaesthesia. 60(4):332-339, April 2005.
|
Abstract: | 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.
(C) 2005 Association of Anaesthetists of Great Britain & Ireland
|
References: | 1 Bion J. Cost containment: Europe. The United Kingdom. New Horizons 1994; 2: 341-4.
2 Bion J. Rationing intensive care. British Medical Journal 1995; 310: 682-3.
3 Scottish Intensive Care Society Audit Group. Annual report [WWW document]. http://www.scottishintensivecare...- ouverture dans une nouvelle fenêtre.
4 Audit Commission. Critical to Success. London: Holbrooks printers, 1999.
5 Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Critical Care Medicine 1985; 13: 818-29.
6 Department of Health. Comprehensive Critical Care. A Review of Adult Critical Care Services. London: Department of Health, 2000.
7 Scottish Executive, Health Department. Better Critical Care. Edinburgh: Scottish Executive, 2000.
8 Ridley SA, Chrispin PS, Scotton H, Rogers J, Lloyd D. Changes in quality of life after intensive care: comparison with normal data. Anaesthesia 1997; 52: 195-202.
9 Brooks R, Kerridge R, Hillman K, Bauman A, Daffurn K. Quality of life outcomes after intensive care. Comparison with a community group. Intensive Care Medicine 1997; 23: 581-6.
10 Niskanen M, Ruokonen E, Takala J, Rissanen P, Kari A. Quality of life after prolonged intensive care. Critical Care Medicine 1999; 27: 1132-9.
11 Schelling G, Stoll C, Haller M, et al. Health-related quality of life and posttraumatic stress disorder in survivors of the acute respiratory distress syndrome. Critical Care Medicine 1999; 26: 651-9.
12 Chaboyer W, Elliott D. Health-related quality of life of ICU survivors: review of the literature. Intensive and Critical Care Nursing 2000; 16: 88-97.
13 Heyland DK, Guyatt G, Cook DJ, et al. Frequency and methodologic rigor of quality-of-life assessments in the critical care literature. Critical Care Medicine 1998; 26: 591-8.
14 Hayes JA, Black NA, Jenkinson C, Young JD, Rowan KM, Daly K, Ridley S. Outcome measures for adult critical care: a systematic review. Health Technology Assessment 2000; 4: 1-111.
15 Eddleston JM, White P, Guthrie E. Survival, morbidity, and quality of life after discharge from intensive care. Critical Care Medicine 2000; 28: 2293-9.
16 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 Medicine 1997; 23: 331-7.
17 Rogers J, Ridley S, Chrispin P, Scotton H, Lloyd D. Reliability of the next of kins' estimates of critically ill patients' quality of life. Anaesthesia 1997; 52: 1137-43.
18 Diaz-Prieto A, Gorriz MT, Badia X, Torrado H, Farrero E, Amador J, Abos R. Proxy-perceived prior health status and hospital outcome among the critically ill: is there any relationship? Intensive Care Medicine 1998; 24: 691-8.
19 Chrispin PS, Scotton H, Rogers J, Lloyd D, Ridley SA. Short Form 36 in the intensive care unit: assessment of acceptability, reliability and validity of the questionnaire. Anaesthesia 1997; 52: 15-23.
20 Ware JE, Kosinski M, Dewey JE. How to Score, Version 2. Lincoln, Rhode Island: SF-36 Health Survey Quality Metric Incorporated, 2001.
21 Jenkinson C, Layte R, Wright L, Coulter A. The UK SF-36: an Analysis and Interpretation Manual. Oxford: University of Oxford Health Service Research Unit, 1996.
22 Dolan P, Gudex C, Kind P, Williams A. A Social Tariff for EuroQOL of Life: Results from a General UK General Population Survey. Centre for Health Economics Discussion Paper 138. Oxford: Centre for Health Economics, 1995.
23 Capuzzo M, Bianconi M, Contu P, Pavoni V, Gritti G. Survival and quality of life after intensive care. Intensive Care Medicine, 1996; 22: 947-53.
24 Kvale R, Flaatten H. Changes in intensive care from 1991 to 2001 - has outcome improved? A single centre study. Intensive Care Medicine 1987; 28: 1110-6.
25 Pettila V, Kaarlola A, Makelainen A. Health-related quality of life of multiple organ dysfunction patients one year after intensive care. Intensive Care Medicine 2000; 26: 1473-9.
26 Chelluri L, Pinsky MR, Donahoe MP, Grenvik A. Long-term outcome of critically ill elderly patients requiring intensive care. Journal of the American Medical Association 1993; 269: 3119-23.
27 Chelluri L, Grenvik A, Silverman M. Intensive care for critically ill elderly: mortality, costs, and quality of life. Review of the literature. Archives of Internal Medicine 1995; 155: 1013-22.
28 Mendelsohn AB, Belle SH, Fischhoff B, et al. How patients feel about prolonged mechanical ventilation 1 year later. Critical Care Medicine 2002; 30: 1439-45.
29 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. Critical Care Medicine 2000; 28: 3389-95.
30 Niskanen M. Quality of life after intensive care. Journal of Suisse de Medecine 1998; 128: 1474-7.
31 Erli HJ, Fernandez V, Kugler J, Brugmann M, Paar O. Determinants of the global quality of life after polytrauma. Chirurg 2000; 71: 1132-7.
32 Nelson BJ, Weinert CR, Bury CL, Marinelli WA, Gross CR. Intensive care unit drug use and subsequent quality of life in acute lung injury patients. Critical Care Medicine 2000; 28: 3626-30.
33 Clermont G, Angus DC, Kalassian KG, et al. Reassessing the value of short-term mortality in sepsis: comparing conventional approaches to modeling. Critical Care Medicine 2003; 31: 2627-33.
34 Heyland DK, Konopad E, Noseworthy TW, Johnston R, Gafni A. Is it 'worthwhile' to continue treating patients with a prolonged stay (> 14 days) in the ICU? An economic evaluation. Chest 1998; 114: 192-8.
35 Chelluri L, Im KA, Belle SH, et al. Long-term mortality and quality of life after prolonged mechanical ventilation. Critical Care Medicine 2004; 32: 61-9.
36 Cuthbertson BH, Strachan M, Scott J, Hull A. Post-traumatic stress disorder after critical illness requiring general intensive care. Intensive Care Medicine 2004; 30: 450-8.
37 Griffiths RD, Jones C. Intensive Care Aftercare. Oxford: Butterworth-Heineman, 2002.
|
Language: | English.
|
Document Type: | Original articles.
|
Journal Subset: | Clinical Medicine.
|
ISSN: | 0003-2409
|
NLM Journal Code: | 4mc, 0370524
|
Annotation(s) | |
|
|