Delirium and quality of life in critically ill patients: a prospective cohort study

Abstract

Objective To evaluate the association between the incidence of delirium in the intensive care unit and quality of life 1 month after hospital discharge. Methods This was a prospective cohort study conducted in the intensive care units of two medium-complexity hospitals from December 2015 to December 2016. Delirium was identified using the Confusion Assessment Method for the Intensive Care Unit scale. At the time of hospital discharge, functional capacity and cognition were assessed with the Barthel index and the Mini Mental State Examination, respectively. Thirty days after patient discharge, the World Health Organization Quality of Life-BREF questionnaire was administered by telephone. Results A total of 216 patients were included. Delirium was identified in 127 (58.8%) of them. Patients with delirium exhibited greater functional dependence (median Barthel index 50.0 [21.2 - 70.0] versus 80.0 [60.0 - 95.0]; p < 0.001) and lower cognition (Mini Mental State Examination score 12.9 ± 7.5 versus 20.7 ± 9.8; p < 0.001) at hospital discharge. There was no difference in any of the quality-of-life domains evaluated 1 month after hospital discharge between patients with and without delirium . Conclusion Our findings suggest that patients with delirium in the intensive care unit do not have worse quality of life 1 month after hospital discharge, despite presenting greater cognitive impairment and functional disability at the time of hospital discharge.

Characteristics and influence on quality of life of new‐onset pain in critical COVID‐19 survivors

“…The EQ VAS evidenced that they had a better perception of their health status than expected, which could be related to the feeling of being a survivor of the pandemic. Additionally, there is controversy about the impact of ICU‐delirium on QoL after hospital discharge (Abelha et al, 2013 ; Luz et al, 2020 ). In this study, ICU‐delirium was included as inclusion criteria, although not a mandatory one and it might have led to the underestimation of HRQoL scores.…”

“…Additionally, there is controversy about the impact of ICU-delirium on QoL after hospital discharge (Abelha et al, 2013;Luz et al, 2020). In this study, ICU-delirium was included as inclusion criteria, although not a mandatory one and it might have led to the underestimation of HRQoL scores.…”