Health-related quality of life before planned admission to intensive care: memory over three and six months

Health and Quality of Life Outcomes

Research

Laura Paparella¹  Laura Tadini²  Giovanna Felisatti³  Raffaele Alvisi³  Maurizia Capuzzo³  Elena Davanzo³  Sara Bertacchini³ 

[1] Department of Medical and Surgical Specialties, University Hospital of Florence, Florence, Italy;Department of Medicine, Surgery, and Critical Care, Section of Anaesthesiology and Intensive Care, University Hospital of Florence, Florence, Italy;University Section of Anaesthesiology and Intensive Care, Azienda Ospedaliero-Universitaria di Ferrara Arcispedale S. Anna, Ferrara, Italy;

关键词: Intensive Care Unit;    Intraclass Correlation Coefficient;    Intensive Care Unit Admission;    Intensive Care Unit Patient;    Intensive Care Unit Stay;   

DOI  :  10.1186/1477-7525-8-103

 received in 2010-01-15, accepted in 2010-09-16,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundThe validity of Health-Related Quality of Life (HRQOL) recalled by ICU admitted patients have not been published. The aim of this study was to compare the baseline HRQOL measured before surgery and ICU admission with that recalled at 3 and 6 months in a population of patients with planned ICU admission after surgery.MethodsThis prospective study was performed in three Italian centres on patients who had undergone General, Orthopaedic or Urologic surgery. All adult patients with planned ICU admission between October 2007 and July 2008 were considered for enrolment. At hospital admission, the Mini Mental Status Examination and EuroQoL (EQ) questionnaire (referring to the last two weeks) were administered to the patients who consented. Three and six months after ICU admission, the researchers administered by phone the EQ questionnaire and Post-Traumatic Stress Syndrome 14 questions Inventory, asking the patients to rate their HRQOL before surgery and ICU admission. Past medical history demographic and clinical ICU-related variables were collected.Statistical analysisChi-square test and non parametric statistics were used to compare groups of patients. The EQ-5D was transformed in the time trade-off (TTO) to obtain a continuous variable, subsequently analysed using the Intraclass Correlation Coefficient (ICC).ResultsOf the 104 patients assessed at baseline and discharged from the hospital, 93 had the EQ administered at 3 months, and 89 at 6 months. The ICC for TTO recalled at 3 months vs pre-ICU TTO was 0.851, and that for TTO recalled at 6 months vs pre-ICU TTO was 0.833. The ICC for the EQ-VAS recalled at 3 months vs pre-ICU EQ-VAS was 0.648, and that for the EQ-VAS recalled at 6 months vs pre-ICU EQ-VAS was 0.580. Forty-two (45%) patients assessed at 3 months gave the same score in all EQ-5D items as at baseline. They underwent mainly orthopaedic surgery (p 0.011), and perceived the severity of their illness as lower (p 0.009) than patients scoring differently at 3 months in comparison with baseline.ConclusionsThe patients with planned ICU admission have a good memory of their health status as measured by EQ-5D in the period preceding surgery and ICU admission, especially at three months.

【 授权许可】

CC BY   
© Capuzzo et al; licensee BioMed Central Ltd. 2010