Quality of life after cardiac surgery complicated by multiple organ failure

Abstract

Patients treated with prolonged multiple system intensive care after heart surgery have a poor outcome with respect to quality of life measured at least 1 yr after discharge from the ICU.

Quality of Life in Relation to Length of Intensive Care Unit Stay After Cardiac Surgery

“…The other 7 studies 3,7,9,27,28,33,34 showed similar results, with QOL considerably reduced in the prolonged ICU group, particularly in domains reflecting physical activity. In 8 of 9 studies demonstrating a deterioration in QOL, there was a higher early and late mortality.…”

“…The other 16 studies were retrospective (Table 3). 3,7,9,[25][26][27][28][29][30][31][32][33][34][35][36][37] The retrospective studies included 1,438 patients. Two studies were prospective and included 100 patients.…”

“…In 8 studies, the definition of prolonged ICU stay was >5 days. 3,26,27,29,32,33,36,37 The next most common definition was >7 days, reported in 7 studies. 4,9,25,30,31,34,36 Two studies considered ≥2 days in the ICU as prolonged.…”

Health-related quality of life of multiple organ dysfunction patients one year after intensive care

“…Quality of life regarding prolonged intensive care [17,18,19], acute respiratory distress syndrome [10,14], MOD and cardiac surgery [9] and MOD including acute renal dysfunction [20] have been studied. However, no studies are available focusing directly on MOD and QOL in a mixed patient group.…”

“…Only a few studies regarding QOL assessment after intensive care have used generic multidimensional measures [3,4,5,6,7,8,9,10]. Problems and limitations with various models measuring QOL are common [11,12].…”