Evaluation of long-term outcomes of very old patients admitted to intensive care: Survival, functional status, quality of life, and quality-adjusted life-years

Ferrão, Cláudia; Quintaneiro, Cláudio; Camila, Claudia; Aragão, Irene; Cardoso, Teresa

doi:10.1016/j.jcrc.2015.05.005

Cited by 8 publications

(8 citation statements)

References 22 publications

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“…In their study, they focused on SF-36 questionnaire, looking for an improvement in interventional group of 10 points more than control group eight weeks after ICU discharge. The training was not able to improve PCS score or MCS score, all the improvements of SF-36 domains were comparable be- [22], performed a retrospective study of very old (>79 years old) ICU patients. According to descriptive parameters (ICU length of stay, need for mechanical ventilation), the population enrolled in their study is comparable to our «intensive treatment» group.…”

Section: Resultsmentioning

confidence: 94%

“…Феррао и сотр. (2015) [22] провели ретроспективное исследование с участием пациентов ОРИТ старческого (>79 лет) возраста. По некоторым характеристикам (длительность пребывания в ОРИТ, необходимость в проведении ИВЛ) изучаемая группа была сходна с ГИТ нашего исследования.…”

Section: Resultsunclassified

“…Physical functioning -физическое функционирование; limitations to the physical role -влияние физического состояния на ролевое функционирование; bodily pain -интенсивность боли; general health perceptions -общее состояние здоровья; vitality -жизненная активность; social functioning -социальное функционирование; emotional role limitations -ролевое функционирование, обусловленное эмоциональным состоянием; mental health -психическое здоровье; synthetic index linked to physical health -физический компонент здоровья; synthetic index linked to mental health -психический компонент здоровья. * -p<0,05 в сравнении с группой интенсивной терапии.180-му дню), в отличие от другихFerrao et al, in 2015…”

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Long-term Quality of Life After Intensive Care Unit Admission (a Single-Center Observational Study)

Leggieri

Dezza

Олтолини

et al. 2021

Obŝaâ reanimatologiâ

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Patients may experience long-term physical, psychological and cognitive impairment after intensive care unit (ICU) discharge, a condition commonly described as post-intensive care syndrome. The relative contribution of each of these components to long-term quality of life was never investigated.The aim of this study is to identify the type and severity of disability and QoL at the discharge from ICU and up to following 6 months.Material and Methods. All patients (n=218) discharged from a university hospital ICU between April 2016 and July 2017 were eligible. Exclusion criteria included: age <18 years, brain or spinal injury, life expectancy <90 days, and ICU stay <12 hours. The Short Form Health Survey (SF-36), and 5-level EuroQoL-5D (EQ-5D-5L) questionnaires were administered at ICU discharge, and at 30-, 90- and 180-days. We compared patients requiring short-term ICU monitoring (IM, Intensive Monitoring, n=109) or patients requiring ICU treatment (IT, Intensive Treatment, n=109).Results. All dimensions of SF-36 and EQ-5D-5L parameters increased from ICU discharge to 180-days, except for the SF-36 Synthetic index linked to mental health (P=0.08). All EQ-5D-5L parameters improved significantly in the IT group, while only Visual Analog Scale Health Perception improved in the IM group.Conclusion. ICU survivors suffer long-term physical and psychological sequelae. The perception of Quality of Life is reduced after ICU discharge. The psychological and cognitive dimensions were more compromised than physical ones. Patients discharged from the ICU may benefit from specific intensive care follow-up clinics addressing their needs in term of psychological and cognitive support.

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Section: Resultsmentioning

confidence: 94%

Section: Resultsunclassified

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Long-term Quality of Life After Intensive Care Unit Admission (a Single-Center Observational Study)

Leggieri

Dezza

Олтолини

et al. 2021

Obŝaâ reanimatologiâ

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“…We tend to expect a poor quality of life for critically ill patients, especially for the very elderly population. One study assessing 278 patients age ≥80 who were admitted to ICUs showed that quality of life evaluated using the EuroQol-5 Dimension (EQ-5D) questionnaire revealed a significant decrease with age, including increasing problems with mobility, self-care, and activities of daily living [ 17 ]. In addition, Pavoni et al [ 14 ] have demonstrated that medical and orthopedic patients have poorer quality of life than surgical patients.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of Long-Term Survival in Very Elderly (age ≥80) Critically Ill Patients of a Medical Intensive Care Unit at a Tertiary Care Hospital in Korea

Lee¹,

Kim

et al. 2020

Tuberc Respir Dis

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Background The purpose of this study was to evaluate the long-term survival rates of very elderly (age ≥80) critically ill patients admitted to a medical intensive care unit (MICU) at a regional tertiary-care hospital in Korea. Methods We retrospectively analyzed data from patients who survived after discharged from the MICU of our hospital. Survival rates at 90 days, 1 year, 2 years, and 3 years were assessed between patients age ≥80 and those age <80. Survival status was evaluated using the National Health Insurance Service data. Results A total of 468 patients were admitted, 286 (179 males, 97 females; mean age, 70.18±13.2) of whom survived and were discharged soon after their treatment. Among these patients, 69 (24.1%) were age ≥80 and 217 (75.9%) were age <80. The 90-day, 1-year, 2-year, and 3-year survival rates of patients age ≥80 were significantly lower than those in patients age <80 (50.7%, 31.9%, 15.9% and 14.5% vs. 68.3%, 54.4%, 45.6%, and 40.1%, respectively) (p<0.01). The Kaplan-Meier survival curves showed significantly lower survival rates in patients age ≥80 than in those age <80 (p=0.001). Conclusion The poor rates of long-term survival in very elderly (age ≥80) and critically ill patients admitted to an ICU should be considered while managing and treating them.

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“…Del mismo modo, se evidenció que durante la medición posterior a la cirugía, los pacientes presentaban mayor dependencia para la ejecución de sus actividades de la vida diaria explicado por las limitaciones para la movilización tales como: accesorios de uso terapéutico (sondas, drenes, catéteres, vía aérea artificial), inestabilidad hemodinámica y respiratoria (24). También se debe precisar, que el cuidado intensivo postoperatorio de la cirugía cardíaca, tiene como objetivo la recuperación de la homeostasis que se ve afectada por los cambios fisiopatológicos generados por el uso de la circulación extracorpórea, los fenómenos de isquemia-reperfusión en el corazón, la hipotermia, trastornos en el sistema de coagulación y los efectos adversos de las transfusiones y el sangrado (23,25); por tanto, el reposo en cama puede conllevar al desacondicionamiento físico (26).…”

Section: Discussionunclassified

Independencia funcional en la recuperación de pacientes sometidos a cirugía cardiaca.

Castaño

Carvajal²,

Londoño³

2019

Rev. cienc. cuidad.

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Objetivo: Evaluar el nivel de independencia funcional de los pacientes sometidos a cirugía cardiaca durante su proceso de recuperación. Materiales y Método: Investigación con enfoque cuantitativo y estudio de tipo analítico longitudinal prospectivo. La población de estudio estuvo conformada por personas mayores de 18 años, sometidas a cirugía cardiaca programada, en una institución de salud de la ciudad de Medellín, Colombia. Se aplicó un cuestionario para las variables sociodemográficas y el procedimiento quirúrgico, además se utilizó el instrumento de independencia funcional de Granger y Hamilton traducido al español por Paolinelli. Se realizó un análisis univariado, bivariado y se usó la regresión de la mediana como prueba multivariada no paramétrica. Resultados: El total de participantes fue de 33. El 50% tenía 64 años. El 66.7% fueron hombres. Se encontró que el 57.6% eran hipertensos y el 12.1% diabéticos. El 54.5% se sometió a bypass coronario. Se evidencia una diferencia estadísticamente significativa entre cada una de las mediciones de la independencia funcional (p<0.05) y una relación directa entre la edad y la disminución de la autonomía (p 0.034). Conclusiones: La independencia funcional se afecta tras la realización de la cirugía cardiaca, pero se recupera con el paso del tiempo y está de alguna manera relacionada con la edad.

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Evaluation of long-term outcomes of very old patients admitted to intensive care: Survival, functional status, quality of life, and quality-adjusted life-years

Cited by 8 publications

References 22 publications

Long-term Quality of Life After Intensive Care Unit Admission (a Single-Center Observational Study)

Long-term Quality of Life After Intensive Care Unit Admission (a Single-Center Observational Study)

Retrospective Analysis of Long-Term Survival in Very Elderly (age ≥80) Critically Ill Patients of a Medical Intensive Care Unit at a Tertiary Care Hospital in Korea

Independencia funcional en la recuperación de pacientes sometidos a cirugía cardiaca.

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