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Health-related quality of life scores after intensive care are almost equal to those of the normal population: a multicenter observational study
Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Department of Anaesthesiology and Intensive Care in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Division of Inflammation Medicine. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Physiology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Center, Department of Thoracic and Vascular Surgery.
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2013 (English)In: Critical Care, ISSN 1364-8535, E-ISSN 1466-609X, Vol. 17, no 5, R236- p.Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION:

Health-related quality of life (HRQoL) in patients treated in intensive care has been reported to be lower compared with age- and sex-adjusted control groups. Our aim was to test whether stratifying for coexisting conditions would reduce observed differences in HRQoL between patients treated in the ICU and a control group from the normal population. We also wanted to characterize the ICU patients with the lowest HRQoL within these strata.

METHODS:

We did a cross-sectional comparison of scores of the short-form health survey (SF-36) questionnaire in a multicenter study of patients treated in the ICU (n = 780) and those from a local public health survey (n = 6,093). Analyses were in both groups adjusted for age and sex, and data stratified for coexisting conditions. Within each stratum, patients with low scores (below -2 SD of the control group) were identified and characterized.

RESULTS:

After adjustment, there were minor and insignificant differences in mean SF-36 scores between patients and controls. Eight (n = 18) and 22% (n = 51) of the patients had low scores (-2 SD of the control group) in the physical and mental dimensions of SF-36, respectively. Patients with low scores were usually male, single, on sick leave before admission to critical care, and survived a shorter time after being in ICU.

CONCLUSIONS:

After adjusting for age, sex, and coexisting conditions, mean HRQoL scores were almost equal in patients and controls. Up to 22% (n = 51) of the patients had, however, a poor quality of life as compared with the controls (-2 SD). This group, which more often consisted of single men, individuals who were on sick leave before admission to the ICU, had an increased mortality after ICU. This group should be a target for future support.

Place, publisher, year, edition, pages
BioMed Central, 2013. Vol. 17, no 5, R236- p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-102566DOI: 10.1186/cc13059ISI: 000331540900052PubMedID: 24119915OAI: oai:DiVA.org:liu-102566DiVA: diva2:679081
Available from: 2013-12-13 Created: 2013-12-13 Last updated: 2017-12-06Bibliographically approved

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Orwelius, LottiFredrikson, MatsKristenson, MargaretaWalther, StenSjöberg, Folke

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Orwelius, LottiFredrikson, MatsKristenson, MargaretaWalther, StenSjöberg, Folke
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Nursing ScienceFaculty of Health SciencesDepartment of Anaesthesiology and Intensive Care in LinköpingDivision of Inflammation MedicineSocial Medicine and Public Health SciencePhysiologyDepartment of Thoracic and Vascular SurgeryDivision of Clinical SciencesDepartment of Hand and Plastic Surgery
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