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The evaluation of the quality of life in survivors of critical illness after discharge from Intensive Care Unit (ICU): A prospective cohort study

Vol. 10 No. 3 (2024)
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Published: Jul 4, 2024
DOI: https://doi.org/10.12681/healthresj.34927
Keywords:
Quality of life ICU patients critical care, survivors post-discharge assessment
Dimitrios Papageorgiou
RN, MSc, PhD, Associate Professor, Department of Nursing, University of West Attica, Athens, Greece
Christos Triantafyllou
RN, MSCE, Ph.D. (c), Department of Nursing, School of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece
https://orcid.org/0000-0002-3198-3965
Areti Stavropoulou
RN, MSc, PhD, Assistant Professor, Department of Nursing, University of West Attica, Athens, Greece
Martha Kelesi
RN, MSc, PhD, Professor, Department of Nursing, University of West Attica, Athens, Greece
Evridiki Kaba
RN, MSc, PhD, Professor, Department of Nursing, University of West Attica, Athens, Greece
Konstantinos Evgenikos
RN, MSc (c), Department of Nursing, School of Health Science, National and Kapodistrian University of Athens, Athens, Greece
Athanasia Liveri
Biostatistics data scientist, Department of Statistics and Insurance Science, University of Piraeus, Piraeus, Greece
Theodora Stroumpouki
RN, PhD, Senior Lecturer – Nursing Research and Development, Faculty of Health, Science, Social Care and Education, Kingston University, United Kingdom
Abstract

Background: Admission to the Intensive Care Unit (ICU) constitutes a substantial psychophysical burden for patients and their relatives. Individuals who are critically ill and receive care in the ICU frequently exhibit numerous physical and mental issues stemming from the primary ailment, its complications, and subsequent treatments.


Aim: This study aimed to assess the quality of life (QoL) for ICU patients in the first and third month after ICU discharge and identify any issues arising from their ICU hospitalization.


Method and Material: This was a prospective cohort study. The study participants were adult medical or surgical patients admitted to ICUs in three public hospitals in the region of Attica in Greece, from August 2020 to December 2021.  The short form (SF)-36 was used to measure QoL. Data collection was performed through telephone interviews during the first and third month after ICU discharge.


Results: The study included 43 patients. The mean age was 59.63±13.06 years. The average value of the two main categories in the 1st month was: Physical health: 53.72 ± 15.92, and Mental health: 69.03 ± 26.02, while in the 3rd month, it was 62.42 ± 20.45 and 72.81 ± 16.47, respectively. The duration of mechanical ventilation, high-flow oxygen therapy, and spontaneous breathing in days seemed to be correlated with the “Physical Functioning”, “Pain”, and “Limitation of the role due to Physical health” subscales of SF-36, respectively (p-value <0.05). The total length of hospitalization seemed to have a statistically significant weak negative correlation with "Physical Function" and "Physical Health" subscales (p-value<0.05).


Conclusions:  An improvement in patients’ QoL was demonstrated three months after discharge from the ICU.

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References
Kanmani TR., Thimmappur RM., Birudu R., Reddy N K., Raj P. Burden and Psychological Distress of Intensive Care Unit Care-givers of Traumatic Brain Injury Patients. Indian J Crit Care Med. 2019;23(5):220-3, doi: 10.5005/jp-journals-10071-23164.
Rawal G, Yadav S, Kumar R. Post-intensive Care Syndrome: an Overview. J Transl Int Med. 2017 Jun 30;5(2):90-92. doi: 10.1515/jtim-2016-0016.
Herbst LA., Desai S., Benscoter D., Jerardi K., Meier KA., Statile AM., et al. Going back to the ward—transitioning care back to the ward team. Transl Pediatr. 2018;7(4):314-25, doi: 10.21037/tp.2018.08.01.
Busico M., das Neves A., Carini F., Pedace M., Villalba D., Foster C., et al. Follow-up program after intensive care unit discharge. Med Intensiva (Engl Ed). 2019;43(4):243-54, doi: 10.1016/j.medin.2018.12.005.
Azoulay E., Vincent J-L., Angus DC., Arabi YM., Brochard L., Brett SJ., et al. Recovery after critical illness: putting the puzzle together-a consensus of 29. Crit Care. 2017;21(1):296, doi: 10.1186/s13054-017-1887-7.
Kruk ME., Gage AD., Arsenault C., Jordan K., Leslie HH., Roder-DeWan S., et al. High-quality health systems in the Sus-tainable Development Goals era: time for a revolution. Lancet Glob Health. 2018;6:e1196-252, doi: 10.1016/S2214-109X(18)30386-3.
Schofield-Robinson OJ., Lewis SR., Smith AF., McPeake J., Alderson P. Follow-up services for improving long-term out-comes in intensive care unit (ICU) survivors. Cochrane Database Syst Rev. 2018;11(11):CD012701, doi: 10.1002/14651858.CD012701.pub2.
Kean S., Donaghy E., Bancroft A., Clegg G., Rodgers S. Theo-rising survivorship after intensive care: A systematic review of patient and family experiences. Journal of Clinical Nursing. 2021;30(17-18):2584-610, doi: 10.1111/jocn.15766.
Li R., Zhou Y., Liu X., Huang J., Chen L., Zhang H., et al. Functional disability and post-traumatic stress disorder in survi-vors of mechanical ventilation: a cross-sectional study in Guangzhou, China. J Thorac Dis. 2021;13(3):1564-75, doi: 10.21037/jtd-20-2622.
Pollack AH., Backonja U., Miller AD., Mishra SR., Khelifi M., Kendall L., et al. Closing the Gap: Supporting Patients’ Transi-tion to Self-Management after Hospitalization. Proc SIGCHI Conf Hum Factor Comput Syst. 2016;2016:5324-36, doi: 10.1145/2858036.2858240.
Schulz R., Beach SR., Czaja SJ., Martire LM., Monin JK. Family Caregiving for Older Adults. Annu Rev Psychol. 2020;71:635-59, doi: 10.1146/annurev-psych-010419-050754.
Oeyen SG., Vandijck DM., Benoit DD., Annemans L., Decruyenaere JM. Quality of life after intensive care: a systemat-ic review of the literature. Crit Care Med. 2010;38(12):2386-400, doi: 10.1097/CCM.0b013e3181f3dec5.
Hurel D., Loirat P., Saulnier F., Nicolas F., Brivet F. Quality of life 6 months after intensive care: results of a prospective multi-center study using a generic health status scale and a satisfac-tion scale. Intensive Care Med. 1997;23(3):331-7, doi: 10.1007/s001340050336.
Fildissis G., Zidianakis V., Tsigou E., Koulenti D., Katostaras T., Economou A., et al. Quality of life outcome of critical care survivors eighteen months after discharge from intensive care. Croat Med J. 2007;48(6):814-21, doi: 10.3325/cmj.2007.6.814.
Vrettou CS., Mantziou V., Ilias I., Vassiliou AG., Orfanos SE., Kotanidou A., et al. Quality of Life, Depression, and Anxiety in Survivors of Critical Illness from a Greek ICU. A Prospective Observational Study. Healthcare. 2021;9(7):849, doi: 10.3390/healthcare9070849.
Sidiras G., Patsaki I., Karatzanos E., Dakoutrou M., Kouvara-kos A., Mitsiou G., et al. Long term follow-up of quality of life and functional ability in patients with ICU acquired Weakness - A post hoc analysis. J Crit Care. 2019;53:223-30, doi: 10.1016/j.jcrc.2019.06.022.
Pappa E., Kontodimopoulos N., Niakas D. Validating and norming of the Greek SF-36 Health Survey. Qual Life Res. 2005;14(5):1433-8, doi: 10.1007/s11136-004-6014-y.
de Sèze M., Petit H., Wiart L., Cardinaud JP., Gaujard E., Joseph PA., et al. Critical illness polyneuropathy. A 2-year fol-low-up study in 19 severe cases. Eur Neurol. 2000;43(2):61-9, doi: 10.1159/000008137.
Needham DM., Wozniak AW., Hough CL., Morris PE., Dinglas VD., Jackson JC., et al. Risk factors for physical impair-ment after acute lung injury in a national, multicenter study. Am J Respir Crit Care Med. 2014;189(10):1214-24, doi: 10.1164/rccm.201401-0158OC.
Fan E., Cheek F., Chlan L., Gosselink R., Hart N., Herridge MS., et al. An official American Thoracic Society Clinical Prac-tice guideline: the diagnosis of intensive care unit-acquired weakness in adults. Am J Respir Crit Care Med. 2014;190(12):1437-46, doi: 10.1164/rccm.201411-2011ST.
World Medical Association World Medical Association Dec-laration of Helsinki: ethical principles for medical research in-volving human subjects. JAMA. 2013;310(20):2191-4, doi: 10.1001/jama.2013.281053.
Gerth AMJ., Hatch RA., Young JD., Watkinson PJ. Changes in health-related quality of life after discharge from an intensive care unit: a systematic review. Anaesthesia. 2019;74(1):100-8, doi: 10.1111/anae.14444.
Orwelius L., Nordlund A., Edéll-Gustafsson U., Simonsson E., Nordlund P., Kristenson M., et al. Role of preexisting disease in patients’ perceptions of health-related quality of life after inten-sive care. Crit Care Med. 2005;33(7):1557-64, doi: 10.1097/01.ccm.0000168208.32006.1c.
Vogel G., Forinder U., Sandgren A., Svensen C., Joelsson-Alm E. Health-related quality of life after general surgical intensive care. Acta Anaesthesiol Scand. 2018, doi: 10.1111/aas.13139.
Abelha FJ., Santos CC., Maia PC., Castro MA., Barros H. Quality of life after stay in surgical intensive care unit. BMC Anesthesiol. 2007;7:8, doi: 10.1186/1471-2253-7-8.
Stergiannis P., Katsoulas T., Fildissis G., Intas G., Galanis P., Kosta N., et al. Health-related quality of life and rehabilitation cost following intensive care unit stay in multiple trauma pa-tients. J Trauma Nurs. 2014;21(3):115-21, doi: 10.1097/JTN.0000000000000042.
Dimopoulou I., Anthi A., Mastora Z., Theodorakopoulou M., Konstandinidis A., Evangelou E., et al. Health-related quality of life and disability in survivors of multiple trauma one year after intensive care unit discharge. Am J Phys Med Rehabil. 2004;83(3):171-6, doi: 10.1097/01.phm.0000107497.77487.c1.
Vianello A., Arcaro G., Palmieri A., Ermani M., Braccioni F., Gallan F., et al. Survival and quality of life after tracheostomy for acute respiratory failure in patients with amyotrophic lateral sclerosis. J Crit Care. 2011;26(3):329.e7-14, doi: 10.1016/j.jcrc.2010.06.003.
Tulsky DS., Rosenthal M. Measurement of quality of life in rehabilitation medicine: emerging issues. Arch Phys Med Re-habil. 2003;84(4 Suppl 2):S1-2, doi: 10.1053/apmr.2003.50203.
Van de Mortel TF. Faking it: social desirability response bias in self-report research. Australian Journal of Advanced Nursing, The. 2008;25(4):40-8.
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