Quality of Life of Severe Sepsis Survivors After Hospital Discharge
Quality of Life of Severe Sepsis Survivors After Hospital Discharge
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DOI：
10.1590/s0104-11692013000300020
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发表时间：
2013-06-01
影响因子：
1.8
通讯作者：
Lobo, Suzana Margareth Ajeje
中科院分区：
文献类型：
--
作者：
Contrin, Ligia Marcia;Paschoal, Vania Del'Arco;Lobo, Suzana Margareth Ajeje
目的：使用特定的生活质量问卷：EuroQol-5 维度和视觉模拟量表 (EQ-VAS) 评估严重脓毒症幸存者的生活质量。方法：这项病例对照研究是在因严重败血症入住 ICU 后从教学医院出院的患者中进行的。从医院败血症登记处检索了 349 名患者的医疗记录。每个脓毒症患者都被视为一个病例。脓毒症发作后立即入院的患者被视为对照，前提是他们没有脓毒症并且在入住 ICU 后幸存下来。该特定研究人群包括 100 名患者。结果：与危重患者相比，脓毒症组的 1 年死亡率更高。然而，对照组没有出现败血症。脓毒症组中老年患者（>60 岁）的问题发生率明显更高。两组受访者之间的 EQ-VAS 没有差异。结论：脓毒症幸存者出院后死亡率高于未患脓毒症的重症患者。老年脓毒症患者在评估的所有五个生活质量维度中都有更中度和更严重的问题。
Aims: to evaluate the quality of life in severe sepsis survivors, using specific QoL questionnaires: the EuroQol-5 Dimensions and the Visual Analogue Scale (EQ-VAS). Method: This case-control study was performed in patients discharged from a teaching hospital after being admitted to the ICU with severe sepsis. Medical records from 349 patients were retrieved from the hospital sepsis registry. Each patient with sepsis was considered as a case. Patients who were admitted immediately after the sepsis episode were considered as controls, provided that they did not have sepsis and survived the ICU admission. This specific study population included 100 patients. Results: The sepsis group showed higher mortality at 1 year compared with critically ill patients. However, the control group showed no sepsis. Older patients (>60 years) in the sepsis group had a significantly higher prevalence of problems. There were no differences in EQ-VAS between respondents from both groups. Conclusions: After discharge from ICU, sepsis survivors of sepsis had a higher mortality rate than critically ill patients without sepsis. Older patients with sepsis had more moderate and severe problems in all five quality of life dimensions evaluated.