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Quality of life in patients aged 80 or over after ICU discharge
- Source :
- Critical Care, Critical Care, 2010, 14 (1), pp.R2. ⟨10.1186/cc8231⟩, Critical Care, BioMed Central, 2010, 14 (1), pp.R2. ⟨10.1186/cc8231⟩, Critical Care, BioMed Central, 2010, 14 (1), pp.R2. 〈10.1186/cc8231〉
- Publication Year :
- 2010
- Publisher :
- HAL CCSD, 2010.
-
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.
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 13648535 and 1466609X
- Database :
- OpenAIRE
- Journal :
- Critical Care, Critical Care, 2010, 14 (1), pp.R2. ⟨10.1186/cc8231⟩, Critical Care, BioMed Central, 2010, 14 (1), pp.R2. ⟨10.1186/cc8231⟩, Critical Care, BioMed Central, 2010, 14 (1), pp.R2. 〈10.1186/cc8231〉
- Accession number :
- edsair.doi.dedup.....2a1d8d26be1a2f9d83cb57100ecc7fc4