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The Effect on Overall Cost and Health-Related Quality of Life by Inpatient Trajectories 3 Years Before and After Critical Illness
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Anaesthesiology and Intensive Care in Linköping.
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Allergy Center.
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences.
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2016 (English)In: Journal of Anesthesia & Intensive Care Medicine, ISSN 2474-7653, Vol. 1, no 1Article in journal (Refereed) Published
Abstract [en]

Background: Pre-existing disease is the most important factor in the prediction of health-related quality of life (HRQoL) after intensive care. We hypothesised that the “inpatient care trajectories” in the years before admission to the ICU is a stronger predictor of HRQoL and mortality after intensive care than pre-existing disease, and that it has significant effects on overall costs.

Method:A retrospective investigation in two combined medical and surgical ICUs in Sweden. Inpatient care was assessed from the County administrative registry. HRQoL (SF-36) was measured at 6, 12, 24, and 36 months after discharge.

Results:Of 1092 patients, 459 (73%) had pre-existing diseases, and among them 360 (57%) had at least one inpatient episode less than 3 years before the ICU period, during which the group used significantly more hospital resources than the combined cost for all ICU care during the same time. The addition of episodes of inpatient care to the regression model strongly reduced the effect of pre-existing disease on HRQoL and was also a strong predictor for early mortality after ICU.

Place, publisher, year, edition, pages
Newbury Park: Juniper Publishers , 2016. Vol. 1, no 1
Keyword [en]
Long-term survival; Health-related quality of life; Hospital inpatient care episodes; Intensive Care; Mortality; Pre-existing diseases
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-135563DOI: 10.19080/JAICM.2015.01.555553OAI: oai:DiVA.org:liu-135563DiVA: diva2:1082535
Available from: 2017-03-16 Created: 2017-03-16 Last updated: 2017-03-22

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Orwelius, LottiHusberg, MagnusBernfort, LarsCarlsson, PerFredrikson, MatsSjöberg, Folke
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Division of Clinical SciencesFaculty of Medicine and Health SciencesDepartment of Anaesthesiology and Intensive Care in LinköpingDivision of Health Care AnalysisAllergy CenterDivision of Neuro and Inflammation ScienceDepartment of Hand and Plastic Surgery
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CiteExportLink to record
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Citation style
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