Quality of life in patients aged 80 or over after ICU discharge.
Quality of life in patients aged 80 or over after ICU discharge.
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DOI：
10.1186/cc8231
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Garrouste-Orgeas M
中科院分区：
文献类型：
--
作者：
Tabah A;Philippart F;Timsit JF;Willems V;Français A;Leplège A;Carlet J;Bruel C;Misset B;Garrouste-Orgeas M
我们的目的是描述80岁或以上患者在重症监护室（ICU）出院后一年的自给自足和生活质量。我们在一家三级非大学医院的内科-外科ICU进行了一项前瞻性观察研究。我们纳入了2005年或2006年入住ICU的80岁或以上患者，并记录了年龄、入院诊断、护理强度、急性和慢性疾病的严重程度，以及ICU、住院和一年死亡率。在ICU入院时和ICU出院后一年评估自给自足（Katz日常生活活动指数）。在ICU出院后1年评估生活质量（WHO-QOL OLD和WHO-QOL BREF）。在115名年龄在80岁或以上的连续患者中（占住院患者的18.2%），106名患者被纳入。平均年龄为84 ± 3岁（范围：80 - 92岁）。ICU出院时死亡率为40/106（37%），出院时死亡率为48/106（45.2%），ICU出院后1年死亡率为73/106（68.9%）。在一年后评估的23例患者中，与入院前状态相比，自给自足没有变化。一年后的生活质量评估显示，身体健康、感官能力、自给自足和社会参与的评分比其他领域略差，而社会关系、环境以及对死亡和死亡的恐惧的评分最好。与年龄和性别匹配的普通人群样本相比，我们的队列在心理健康、社会关系和环境方面有更好的评分，对死亡和死亡的恐惧更少，对过去、现在和未来的活动有更好的期望，亲密关系（友谊和爱情）也更好。在ICU入院时选择的80岁或以上患者中，80%在ICU出院一年后能够自给自足进行日常生活活动，31%仍存活，自给自足能力没有变化，生活质量与普通人群相似。年龄和性别匹配的人群。然而，由于幸存者样本较少，必须谨慎解释这些结果。
Our objective was to describe self-sufficiency and quality of life one year after intensive care unit (ICU) discharge of patients aged 80 years or over. We performed a prospective observational study in a medical-surgical ICU in a tertiary non-university hospital. We included patients aged 80 or over at ICU admission in 2005 or 2006 and we recorded age, admission diagnosis, intensity of care, and severity of acute and chronic illnesses, as well as ICU, hospital, and one-year mortality rates. Self-sufficiency (Katz Index of Activities of Daily Living) was assessed at ICU admission and one year after ICU discharge. Quality of life (WHO-QOL OLD and WHO-QOL BREF) was assessed one year after ICU discharge. Of the 115 consecutive patients aged 80 or over (18.2% of admitted patients), 106 were included. Mean age was 84 ± 3 years (range, 80 to 92). Mortality was 40/106 (37%) at ICU discharge, 48/106 (45.2%) at hospital discharge, and 73/106 (68.9%) one year after ICU discharge. In the 23 patients evaluated after one year, self-sufficiency was unchanged compared to the pre-admission status. Quality of life evaluations after one year showed that physical health, sensory abilities, self-sufficiency, and social participation had slightly worse ratings than the other domains, whereas social relationships, environment, and fear of death and dying had the best ratings. Compared to an age- and sex-matched sample of the general population, our cohort had better ratings for psychological health, social relationships, and environment, less fear of death and dying, better expectations about past, present, and future activities and better intimacy (friendship and love). Among patients aged 80 or over who were selected at ICU admission, 80% were self-sufficient for activities of daily living one year after ICU discharge, 31% were alive, with no change in self-sufficiency and with similar quality of life to that of the general population matched on age and sex. However, these results must be interpreted cautiously due to the small sample of survivors.
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影响因子：
3.5
作者：
Sjögren, J;Thulin, LI
通讯作者：
Thulin, LI
影响因子：
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作者：
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120.7
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120.7
作者：
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