An exploration of social and economic outcome and associated health-related quality of life after critical illness in general intensive care unit survivors: a 12-month follow-up study.
An exploration of social and economic outcome and associated health-related quality of life after critical illness in general intensive care unit survivors: a 12-month follow-up study.
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DOI：
10.1186/cc12745
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发表时间：
2013-05-28
期刊：
影响因子：
--
通讯作者：
Brett SJ
中科院分区：
文献类型：
--
作者：
Griffiths J;Hatch RA;Bishop J;Morgan K;Jenkinson C;Cuthbertson BH;Brett SJ
在欧洲，危重疾病对患者及其家属的社会经济影响尚未确定。这项探索性研究的目的是估计ICU出院后前12个月内患者的家庭情况、社会和经济稳定性、护理需求和获得卫生服务的机会的变化。ICU出院后6个月和12个月的危重病幸存者的多中心研究。在ICU出院后6个月和12个月获得了293例在22个英国ICU之一度过超过48小时的知情同意患者的数据。入院前和ICU出院后12个月之间的住宿或关系状态变化的证据很少。在6个月和12个月时，33%的患者报告了对家庭收入的负面影响。与入院前相比，12个月时报告就业为唯一收入来源的患者人数减少了近50%（19%至11%）。四分之一的患者在6个月时报告自己需要护理援助，12个月时为22%。大部分护理由家庭成员提供（分别为80%和78%），其中一半人的就业受到负面影响。在所有接受护理的患者中，26%的人报告每周需要超过50小时。出院后，79%的患者报告去看了他们的初级保健医生，44%的患者去看了社区护士。在入院前和6个月之间，移动问题几乎翻了一番（32%至64%）。此外，73%的人在12个月时报告中度或重度疼痛，44%的人仍然显着焦虑或抑郁。英国重症患者的就业面临负面影响，出院后通常需要护理。这对家庭收入产生了相应的负面影响。所需的大部分护理由家庭成员提供。这种效果在6个月时很明显，在12个月时没有实质性改善。这项探索性研究确定了危重病后可能造成重大社会经济负担的可能性。
The socio-economic impact of critical illnesses on patients and their families in Europe has yet to be determined. The aim of this exploratory study was to estimate changes in family circumstances, social and economic stability, care requirements and access to health services for patients during their first 12 months after ICU discharge. Multi-center questionnaire-based study of survivors of critical illness at 6 and 12 months after ICU discharge. Data for 293 consenting patients who spent greater than 48 hours in one of 22 UK ICUs were obtained at 6 and 12 months post-ICU discharge. There was little evidence of a change in accommodation or relationship status between pre-admission and 12 months following discharge from an ICU. A negative impact on family income was reported by 33% of all patients at 6 months and 28% at 12 months. There was nearly a 50% reduction in the number of patients who reported employment as their sole source of income at 12 months (19% to 11%) compared with pre-admission. One quarter of patients reported themselves in need of care assistance at 6 months and 22% at 12 months. The majority of care was provided by family members (80% and 78%, respectively), for half of whom there was a negative impact on employment. Amongst all patients receiving care, 26% reported requiring greater than 50 hours a week. Following discharge, 79% of patients reported attending their primary care physician and 44% had seen a community nurse. Mobility problems nearly doubled between pre-admission and 6 months (32% to 64%). Furthermore, 73% reported moderate or severe pain at 12 months and 44% remained significantly anxious or depressed. Survivors of critical illness in the UK face a negative impact on employment and commonly have a care requirement after discharge from hospital. This has a corresponding negative impact on family income. The majority of the care required is provided by family members. This effect was apparent by 6 months and had not materially improved by 12 months. This exploratory study has identified the potential for a significant socio-economic burden following critical illness.
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DOI：
10.1093/pubmed/22.2.182
发表时间：
2000-06-01
期刊：
JOURNAL OF PUBLIC HEALTH MEDICINE
影响因子：
--
作者：
Chandola, T;Jenkinson, C
通讯作者：
Jenkinson, C
影响因子：
10.7
作者：
Chrispin, PS;Scotton, H;Ridley, SA
通讯作者：
Ridley, SA
影响因子：
6.3
作者：
Jenkinson, C;Stewart-Brown, S;Paice, C
通讯作者：
Paice, C
DOI：
10.1186/cc8848
发表时间：
2010
期刊：
Critical care (London, England)
影响因子：
--
作者：
Cuthbertson BH;Roughton S;Jenkinson D;Maclennan G;Vale L
通讯作者：
Vale L
影响因子：
120.7
作者：
COVINSKY, KE;GOLDMAN, L;PHILLIPS, RS
通讯作者：
PHILLIPS, RS