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Long-term health-related quality of life, healthcare utilisation and back-to-work activities in intensive care unit survivors: Prospective confirmatory study from the Frisian aftercare cohort

Beumeler, Lise F. E ; van Wieren, Anja ; Buter, Hanneke ; van Zutphen, Tim ; Navis, Gerjan J ; Boerma, E. Christiaan Mansur, Ashham

PloS one, 2022-09, Vol.17 (9), p.e0273348-e0273348 [Periódico revisado por pares]

San Francisco: Public Library of Science

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  • Título:
    Long-term health-related quality of life, healthcare utilisation and back-to-work activities in intensive care unit survivors: Prospective confirmatory study from the Frisian aftercare cohort
  • Autor: Beumeler, Lise F. E ; van Wieren, Anja ; Buter, Hanneke ; van Zutphen, Tim ; Navis, Gerjan J ; Boerma, E. Christiaan
  • Mansur, Ashham
  • Assuntos: Chronic fatigue syndrome ; Consent ; Critical care ; Evaluation ; Health aspects ; Health care ; Health services utilization ; Hospitals ; Intensive care ; Intensive care nursing ; Medical care ; Medical research ; Medicine and Health Sciences ; Mortality ; Patients ; Population ; Quality of life ; Questionnaires ; Recovery ; Utilization
  • É parte de: PloS one, 2022-09, Vol.17 (9), p.e0273348-e0273348
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
    Competing Interests: All authors declare that they have no conflict of interest.
  • Descrição: More substantial information on recovery after Intensive Care Unit (ICU) admission is urgently needed. In a previous retrospective study, the proportion of non-recovery patients was 44%. The aim of this prospective follow-up study was to evaluate changes in Health-Related Quality of Life (HRQoL) in the first year after ICU-admission. Long-stay adult ICU-patients ([greater than or equal to] 48 hours) were included. HRQoL was evaluated with the Dutch translation of the RAND-36 item Health Survey (RAND-36) at baseline via proxy measurement, and at three, six, and twelve months after ICU admission. Subsequently, the relation between physical functioning, healthcare utilisation, and work activities was explored. A total of 81 patients were included in this study. Fifty-five percent of patients did not meet criteria for full recovery and were allocated to the Non Recovery (NR)-group (Physical Functioning domain-score: 35 [15-55]). Baseline physical HRQoL differed significantly between the Recovery (R) and NR-group. Patients in the NR-group received home care more often and had higher healthcare utilisation (44 versus 17% in the first three months post-ICU, p = 0.013). Only fourteen percent of NR-patients were able to participate in work activities. Moreover, NR-patients persistently showed impaired overall HRQoL throughout the year after critical illness. Limited recovery in ICU survivors is reflected in overall impaired HRQoL, as well as in far-reaching consequences for patients' healthcare needs and their ability to reintegrate into society. In our study, baseline HRQoL appeared to be an important predictor of long-term outcomes, but not Clinical Frailty Scale (CFS) score. And, (proxy-derived) HRQoL may help to identify patients at risk of long-term non-recovery.
  • Editor: San Francisco: Public Library of Science
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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