Health Expectations and Quality of Life After Acute Respiratory Failure

Turnbull, Alison E.; Lee, Emma M.; Dinglas, Victor D.; Beesley, Sarah J.; Bose, Somnath; Banner‐Goodspeed, Valerie; Hopkins, Ramona O.; Jackson, James C.; Mir‐Kasimov, Mustafa; Sevin, Carla M.; Brown, Samuel M.

doi:10.1016/j.chest.2023.01.016

CHEST

2023

DOI: 10.1016/j.chest.2023.01.016

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Health Expectations and Quality of Life After Acute Respiratory Failure

Alison E. Turnbull

Emma M. Lee

Victor D. Dinglas

et al.

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Cited by 3 publications

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“…Because symptoms are inherently subjective, they are modifiable through a multifaceted, patient-centric approach. In fact, we know that patient QoL improves with fulfillment of patient expectations but is poorly correlated with levels of disability as conventionally measured ( 8 , 9 ). Pragmatically, PICS is often measured with instruments such as the Montreal Cognitive Assessment test, 6-minute-walk distance, and the EuroQol-5D-5 L ( 10 ).…”

mentioning

confidence: 99%

It Is Feasible to Relieve Distressing Symptoms after the ICU

Eaton,

Gersten,

Iwashyna

2023

Am J Respir Crit Care Med

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mentioning

confidence: 99%

It Is Feasible to Relieve Distressing Symptoms after the ICU

Eaton,

Gersten,

Iwashyna

2023

Am J Respir Crit Care Med

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What every intensivist should know about Quality of Life after critical illness

Zegers,

Porter,

Simons

et al. 2024

Journal of Critical Care

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Outcomes and quality of life in patients receiving durable left ventricular assist device with biventricular support

Iyengar,

Weingarten,

Song

et al. 2024

Artificial Organs

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BackgroundPatients requiring biventricular support (BIVAD) face higher morbidity than those undergoing durable left ventricular assist device (LVAD) implantation alone. The goal of the current study was to evaluate quality of life (QOL) of patients with LVAD therapy in the modern era, stratified by use of biventricular support.MethodsAll patients undergoing LVAD at our center were reviewed between October 2017 and September 2021. Patients were stratified by perioperative use of BIVAD. Patients were administered a telephone survey consisting of the Kansas City Cardiomyopathy Questionnaire (KCCQ‐12) as well as free‐responses regarding satisfaction surrounding their operation. Outcomes included survival, KCCQ‐12 metrics, and thematic analysis of free response questions.Results92 patients were identified, of whom 26 (28%) received BIVAD support. BIVAD patients had more preoperative ECMO use (54% vs. 12%, p < 0.001) and lower INTERMACS scores (Category 1: 46% vs. 14%, p = 0.001). Three‐year survival was 73.8% among LVAD‐alone patients and 50.1% among BIVAD patients (log‐rank p = 0.022). Median composite KCCQ‐12 score was 78 (57–88). No differences in composite or any component scores were noted between groups. 76% of patients report they would be moderately or extremely like to go through surgery again if given repeat choice. The most common themes expressed were overall gratitude (24%) and disappointment with device‐related restrictions (20%).ConclusionsPatients requiring BIVAD therapy have more advanced shock, longer associated hospital courses, and lower long‐term survival. However, those that survive enjoy similar overall quality of life, and many endorse positive outlooks on their surgical course. Continued assessments of quality of life are important in providing patient‐centered LVAD care.

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Health Expectations and Quality of Life After Acute Respiratory Failure

Cited by 3 publications

References 51 publications

It Is Feasible to Relieve Distressing Symptoms after the ICU

It Is Feasible to Relieve Distressing Symptoms after the ICU

What every intensivist should know about Quality of Life after critical illness

Outcomes and quality of life in patients receiving durable left ventricular assist device with biventricular support

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