What happens to quality of life after the intensive care unit? Cross-sectional observational study

  • Daniela Arango-Isaza a. Epidemiology Department, Universidad CES, Medellín, Colombia.
  • Mariana Velásquez-Duran a. Epidemiology Department, Universidad CES, Medellín, Colombia.
  • Camila Franco-Mesa a. Epidemiology Department, School of Medicine, Universidad CES, Medellín, Colombia.
  • Esteban Calle-Correa a. Epidemiology Department, School of Medicine, Universidad CES, Medellín, Colombia.
  • Mariana Jaramillo-Hurtado a. Epidemiology Department, School of Medicine, Universidad CES, Medellín, Colombia.
  • Victoria Ángel-Mejía a. Adult Intensive Care Unit, Hospital Manuel Uribe Ángel, Envigado, Colombia.
  • Natalia Uribe-Corrales a. Medical School, Public Health Observatory Research Team, Universidad CES, Medellín, Colombia.
Keywords: Quality of Life, Intensive Care Units, Mortality, Critical Care, Observational Study

Abstract

Introduction:

Quality of life (QOL) of patients discharged from the intensive care unit (ICU) is affected by the procedures performed, and the sequelae and comorbidities associated with their etiology at the time of admission.

Objective:

To determine health-related QOL after discharge from an ICU between 2014 and 2016.

Methods:

Cross-sectional observational study that included patients over 50 years of age with a length of stay of more than 48 hours in an ICU. Demographic data were obtained from the clinical records, and an EQ-5D-3L survey was conducted by telephone. Data were analyzed using the SPSS version 21 software package.

Results:

Total mortality was 33.6%, and of these cases, 61.7% occurred within the first 6 months after discharge. Average total EQ-5D-3L results, where 0 is the worst result and 1 is the best in terms of QOL, was 0.65 and the most affected dimension was pain/ discomfort. On the analog quality-of-life scale, the total average was 69.05%.

Conclusion:

QOL is impacted negatively following discharge from the ICU, especially in patients over 80 years of age. The most affected dimensions are pain/discomfort and anxiety/depression. Moreover, more than 1/3 of patients die within the first 6 months after discharge.

References

1. Soliman IW, de Lange DW, Peelen LM, et al. Single-center large-cohort study into quality of life in Dutch intensive care unit subgroups, 1 year after admission, using EuroQoL EQ-6D-3L. J Crit Care 2015;30:181-186.

2. De Vos M, Graafmans W, Keesman E, et al. Quality measurement at intensive care units: which indicators should we use? J Crit Care 2007;22:267-274.

3. Brinkman S, de Jonge E, Abu-Hanna A, et al. Mortality after hospital discharge in ICU patients. Crit Care Med 2013;41:1229-1236.

4. Griffiths J, Hatch RA, Bishop J, et al. An exploration of social and economic outcome and associated health-related quality of life after critical illness in general intensive care unit survivors: a 12-month follow-up study. Crit Care 2013;17:R100.

5. Normilio-Silva K, de Figueiredo AC, Pedroso-de-Lima AC, et al. Long-term survival, quality of life, and quality-adjusted survival in critically ill patients with cancer. Crit Care Med 2016;44:1327-1337.
6. Groessl EJ, Kaplan RM, Rejeski WJ, et al. Health-related quality of life in older adults at risk for disability. Am J Prev Med 2007;33:214-218.

7. Zimmerman JE, Kramer AA, McNair DS, et al. Acute physiology and chronic health evaluation (APACHE) IV: hospital mortality assessment for today’s critically ill patients. Crit Care Med 2006;34:1297-1310.

8. EuroQol GroupEuroQol - a new facility for the measurement of health-related quality of life. Health Policy 1990;16:199-208.

9. Dritsaki M, Petrou S, Williams M, et al. An empirical evaluation of the SF-12, SF-6D, EQ-5D and Michigan Hand Outcome Questionnaire in patients with rheumatoid arthritis of the hand. Health Qual Life Outcomes 2017;15:20.

10. Gualtierotti R, Ingegnoli F, Scalone L, et al. Feasibility, acceptability and construct validity of EQ-5D in systemic sclerosis. Swiss Med Wkly 2016;146:w14394.

11. Ho KM, Dobb GJ, Knuiman M, et al. A comparison of admission and worst 24-hour acute physiology and chronic health evaluation II scores in predicting hospital mortality: a retrospective cohort study. Crit Care 2006;10:R4.

12. Rydingsward JE, Horkan CM, Mogensen KM, et al. Functional status in ICU survivors and out of hospital outcomes: a cohort study. Crit Care Med 2016;44:869-879.

13. Roch A, Wiramus S, Pauly V, et al. Long-term outcome in medical patients aged 80 or over following admission to an intensive care unit. Crit Care 2011;15:R36.

14. Elliott M, Page K, Worrall-Carter L. Factors associated with postintensive care unit adverse events: a clinical validation study. Nurs Crit Care 2014;19:228-235.

15. Steenbergen S, Rijkenberg S, Adonis T, et al. Long-term treated intensive care patients outcomes: the one-year mortality rate, quality of life, health care use and long-term complications as reported by general practitioners. BMC Anesthesiol 2015;15:142.

16. Pintado MC, Villa P, Luján J, et al. Mortality and functional status at one-year of follow-up in elderly patients with prolonged ICU stay. Med Intensiva 2016;40:289-297.

17. Peel C, Sawyer Baker P, Roth DL, et al. Assessing mobility in older adults: the UAB study of aging life-space assessment. Phys Ther 2005;85:1008-1119.

18. Desai SV, Law TJ, Needham DM. Long-term complications of critical care. Crit Care Med 2011;39:371-379.

19. Hein OV, Birnbaum J, Wernecke K, et al. Prolonged intensive care unit stay in cardiac surgery: risk factors and long-term-survival. Ann Thorac Surg 2006;81:880-885.
20. Martin CM, Hill AD, Burns K, et al. Characteristics and outcomes for critically ill patients with prolonged intensive care unit stays. Crit Care Med 2005;33:1922-1927.

21. Laupland KB, Kirkpatrick AW, Kortbeek JB, et al. Long-term mortality outcome associated with prolonged admission to the ICU. Chest 2006;129:954-959.

22. Khouli H, Astua A, Dombrowski W, et al. Changes in health-related quality of life and factors predicting long-term outcomes in older adults admitted to intensive care units. Crit Care Med 2011;39:731-737.

23. Liliana Alejandra CB, Mario GM. From the EQ-5D tool and the visual analog scale to happiness. Rev Colomb Anestesiol 2014;42:1-3.
How to Cite
1.
Arango-Isaza D, Velásquez-Duran M, Franco-Mesa C, Calle-Correa E, Jaramillo-Hurtado M, Ángel-Mejía V, Uribe-Corrales N. What happens to quality of life after the intensive care unit? Cross-sectional observational study. Colomb. J. Anesthesiol. [Internet]. 2019Jan.1 [cited 2021Apr.22];47(1):32-0. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/193

Downloads

Download data is not yet available.
Published
2019-01-01
How to Cite
1.
Arango-Isaza D, Velásquez-Duran M, Franco-Mesa C, Calle-Correa E, Jaramillo-Hurtado M, Ángel-Mejía V, Uribe-Corrales N. What happens to quality of life after the intensive care unit? Cross-sectional observational study. Colomb. J. Anesthesiol. [Internet]. 2019Jan.1 [cited 2021Apr.22];47(1):32-0. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/193
Section
Original

More on this topic