1. Quality of life in patients aged 80 or over after ICU discharge
- Author
-
Jean Carlet, Jean-François Timsit, Maité Garrouste-Orgeas, Alexis Tabah, Alain Leplège, Benoit Misset, Adrien Français, François Philippart, Cédric Bruel, Vincent Willems, BMC, Ed., Service de réanimation polyvalente, Groupe Hospitalier Paris Saint-Joseph (hpsj), Cytokines et Inflammation, Institut Pasteur [Paris] (IP), Epidémiologie pronostique des cancers et affections graves, Université Joseph Fourier - Grenoble 1 (UJF)-Institut National de la Santé et de la Recherche Médicale (INSERM), Réanimation médicale, Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble-Hôpital Michallon, Recherches Epistémologiques et Historiques sur les Sciences Exactes et les Institutions Scientifiques (REHSEIS (UMR_7596)), Université Paris Diderot - Paris 7 (UPD7)-Centre National de la Recherche Scientifique (CNRS), Université Paris Descartes - Paris 5 (UPD5), Groupe Hospitalier Paris Saint-Joseph, Institut Pasteur [Paris], Centre National de la Recherche Scientifique (CNRS)-Université Paris Diderot - Paris 7 (UPD7), Université Joseph Fourier - Grenoble 1 (UJF) - Institut National de la Santé et de la Recherche Médicale (INSERM), Université Joseph Fourier - Grenoble 1 (UJF) - CHU Grenoble - Hôpital Michallon, Recherches Epistémologiques et Historiques sur les Sciences Exactes et les Institutions Scientifiques (REHSEIS), and Université Paris Diderot - Paris 7 (UPD7) - Centre National de la Recherche Scientifique (CNRS)
- Subjects
Male ,Pediatrics ,Letter ,Activities of daily living ,[SDV.MHEP.PHY] Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO] ,Hospital Bed Capacity, 300 to 499 ,MESH : Aged ,MESH : Prospective Studies ,Critical Care and Intensive Care Medicine ,Hospitals, Special ,law.invention ,MESH : Hospital Bed Capacity, 300 to 499 ,0302 clinical medicine ,MESH: Aged, 80 and over ,Quality of life ,law ,Medicine ,MESH : Female ,Prospective Studies ,030212 general & internal medicine ,Prospective cohort study ,Aged, 80 and over ,MESH: Aged ,education.field_of_study ,Mortality rate ,MESH: Paris ,MESH : Paris ,MESH: Follow-Up Studies ,Intensive care unit ,Patient Discharge ,3. Good health ,Intensive Care Units ,Cohort ,Female ,MESH : Patient Discharge ,MESH : Intensive Care Units ,Paris ,medicine.medical_specialty ,MESH : Hospitals, Special ,MESH : Male ,Population ,03 medical and health sciences ,[SDV.MHEP.PHY]Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO] ,Humans ,MESH : Aged, 80 and over ,education ,Aged ,MESH: Humans ,business.industry ,Research ,MESH: Patient Discharge ,MESH : Humans ,MESH: Hospitals, Special ,MESH: Quality of Life ,MESH : Follow-Up Studies ,030208 emergency & critical care medicine ,MESH : Quality of Life ,MESH: Hospital Bed Capacity, 300 to 499 ,MESH: Prospective Studies ,MESH: Male ,Quality of Life ,Observational study ,MESH: Intensive Care Units ,business ,MESH: Female ,Follow-Up Studies - Abstract
International audience; INTRODUCTION: Our objective was to describe self-sufficiency and quality of life one year after intensive care unit (ICU) discharge of patients aged 80 years or over. METHODS: We performed a prospective observational study in a medical-surgical ICU in a tertiary non-university hospital. We included patients aged 80 or over at ICU admission in 2005 or 2006 and we recorded age, admission diagnosis, intensity of care, and severity of acute and chronic illnesses, as well as ICU, hospital, and one-year mortality rates. Self-sufficiency (Katz Index of Activities of Daily Living) was assessed at ICU admission and one year after ICU discharge. Quality of life (WHO-QOL OLD and WHO-QOL BREF) was assessed one year after ICU discharge. RESULTS: Of the 115 consecutive patients aged 80 or over (18.2% of admitted patients), 106 were included. Mean age was 84 +/- 3 years (range, 80 to 92). Mortality was 40/106 (37%) at ICU discharge, 48/106 (45.2%) at hospital discharge, and 73/106 (68.9%) one year after ICU discharge. In the 23 patients evaluated after one year, self-sufficiency was unchanged compared to the pre-admission status. Quality of life evaluations after one year showed that physical health, sensory abilities, self-sufficiency, and social participation had slightly worse ratings than the other domains, whereas social relationships, environment, and fear of death and dying had the best ratings. Compared to an age- and sex-matched sample of the general population, our cohort had better ratings for psychological health, social relationships, and environment, less fear of death and dying, better expectations about past, present, and future activities and better intimacy (friendship and love). CONCLUSIONS: Among patients aged 80 or over who were selected at ICU admission, 80% were self-sufficient for activities of daily living one year after ICU discharge, 31% were alive, with no change in self-sufficiency and with similar quality of life to that of the general population matched on age and sex. However, these results must be interpreted cautiously due to the small sample of survivors.
- Published
- 2010