Changes in health-related quality of life and factors predicting long-term outcomes in older adults admitted to intensive care units*

2011 ◽  
Vol 39 (4) ◽  
pp. 731-737 ◽  
Author(s):  
Hassan Khouli ◽  
Alfred Astua ◽  
Wen Dombrowski ◽  
Faiz Ahmad ◽  
Peter Homel ◽  
...  
2012 ◽  
Vol 53 (2) ◽  
pp. 205-210 ◽  
Author(s):  
C. Zubritsky ◽  
K. M. Abbott ◽  
K. B. Hirschman ◽  
K. H. Bowles ◽  
J. B. Foust ◽  
...  

2020 ◽  
Vol 13 (4) ◽  
pp. 51-57
Author(s):  
Panagiota Peleka ◽  
Olga Siskou ◽  
Petros Galanis ◽  
Olympia Konstantakopoulou ◽  
Daphne Kaitelidou

Introduction: Providing high quality care in todays’ Intensive Care Units is a challenge because of the constant increase in demand, the high functional cost and the restricted availability of resources. Evaluating both patients’ experiences and outcomes from the care provided is necessary for ensuring high quality in health care. Aim: The investigation of patient reported experiences in Intensive Care Units and the evaluation of their health related quality of life six to twelve months after discharge. Methods: It is a non-interventional cross-sectional study with retrospective data collection. The participants were 108 patients, discharged from four Intensive Care Units of three military hospitals in Athens. Telephone interviews were conducted using “Patient Empowerment Questionnaire” and “Quality of life Questionnaire” to evaluate patients’ experiences and health related quality of life respectively. Statistical analysis was conducted using the statistical package SPSS v.25.0. Results: The majority of the study population reported positive experiences with the critical care staff and normal quality of life after discharge. However, 47% reported that they could not always sleep at night and 32% did not always receive adequate pain relief. In regards to patients’ quality of life, “normal daily activities” were affected the most. Specifically, half of the patients reported inability to carry out activities requiring high level of physical effort and 1/5 expressed difficulties in walking and in mobility. Additionally, 43% reported difficulties in the job or their daily activities, have changed or completely abandoned them. Conclusions: The patients’ positive experiences and good health related quality of life after discharge gave the impression that quality of intensive care in Greek military hospitals is high. Interventions intending to achieve more adequate pain relief, better sleep at night, and prevention of critical illness’ negative impact on day-to-day activities would ensure more positive results.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S420-S421
Author(s):  
Justine S Sefcik ◽  
Karen Hirschman ◽  
Darina V Petrovsky ◽  
Nancy Hodgson ◽  
Mary Naylor

Abstract Being outdoors in nature has been associated with improved mental and physical health. There are no known studies exploring older adults’ satisfaction with outdoor activities at the start of long-term services and supports (LTSS; in nursing homes, assisted living, or at home). We examined characteristics of older adults receiving LTSS and factors associated with outdoor activities satisfaction. A secondary analysis was conducted of baseline data involving structured interviews with older adults new to LTSS (Health-Related Quality of Life: Elders in Long-Term Care; R01AG025524-05). Primary outcome was a single item on the satisfaction with outdoor activities (not at all satisfied to extremely satisfied). We conducted multivariable linear regression models controlling for the influence of the characteristics important to health-related quality of life (LTSS setting, gender, age, number of comorbidities, and sensory impairment [vision/hearing].) Among 356 people, the majority (59%) were satisfied with their outdoor activities. Of 339 participants with complete data, more depressive symptoms (higher Geriatric Depression Score; p<.001) and higher cognitive functioning (higher MMSE score; p=.038) were associated with lower ratings of satisfaction with outdoor activities. Higher self-rated physical health (p=.038) and more independence with activities of daily living (p=.017) were associated with greater satisfaction with outdoor activities. Due to the cross-sectional nature of this study it is difficult to determine causality; however, outdoor activity is important to people receiving LTSS. Interdisciplinary teams can work with older adults receiving LTSS to assess interest level with outdoor activities and create a person-centered plan to increase outdoor activity and satisfaction levels.


2019 ◽  
Vol 44 (1) ◽  
pp. 134-141
Author(s):  
Dimitrios Linos ◽  
Spyridon Christodoulou ◽  
Vassiliki Kitsou ◽  
Angeliki Karachaliou ◽  
Spyridon Ntelis ◽  
...  

Spinal Cord ◽  
2020 ◽  
Author(s):  
Sophie Jörgensen ◽  
Maria Valentina Costa Andersson ◽  
Jan Lexell

Abstract Study design Cross-sectional and longitudinal. Objectives To (i) describe health-related quality of life (HRQoL) and changes over 6 years in older adults aging with long-term spinal cord injury (SCI) and (ii) investigate how changes in HRQoL are associated with age, gender, and injury characteristics. Setting Community in southern Sweden. Methods From the initial 123 participants (years 2011–2012) in the Swedish Aging with Spinal Cord Injury Study (SASCIS), 77 individuals (32% women, C1-L3, AIS A–D, median age 66 years, median time since injury 31 years, 30% complete injuries) were assessed 6 years later. HRQoL was rated with the Spinal Cord Injury Quality of Life Questionnaire (SCI QL-23). Associations were investigated using multivariable linear regression analyses. Results The median rating of global QoL (scale range 0–100) was relatively high at both assessments (67 and 83, respectively). There was a large variability in all HRQoL-domains and no significant changes over 6 years. As compared to an AIS D injury, a tetraplegia AIS A–C injury and tetraplegia and paraplegia AIS A–C injuries were associated with positive change in depressive symptoms and global QoL, respectively. Conclusions Older adults aging with long-term SCI show large variations in all HRQoL-domains and have the potential to maintain a high and stable level of HRQoL over time. Persons with AIS D injuries may need increased attention to mitigate negative changes in depressive symptoms and global QoL. Further studies are needed to identify modifiable factors associated with changes in HRQoL in older adults aging with long-term SCI.


2012 ◽  
Vol 124 (17-18) ◽  
pp. 624-632 ◽  
Author(s):  
Peter Schenk ◽  
Joanna Warszawska ◽  
Valentin Fuhrmann ◽  
Franz König ◽  
Christian Madl ◽  
...  

2017 ◽  
Vol 26 (8) ◽  
pp. 2117-2127 ◽  
Author(s):  
Liliana C. Baptista ◽  
Gonçalo Dias ◽  
Nelba R. Souza ◽  
Manuel T. Veríssimo ◽  
Raul A. Martins

2016 ◽  
Vol 91 (4) ◽  
pp. E278-E279
Author(s):  
Evaren E. Page ◽  
Yang Jiang ◽  
Deirdra R. Terrell ◽  
Sara K. Vesely ◽  
James N. George

2009 ◽  
Vol 61 (8) ◽  
pp. 1062-1069 ◽  
Author(s):  
Montserrat Núñez ◽  
Luis Lozano ◽  
Esther Núñez ◽  
Josep M. Segur ◽  
Sergi Sastre ◽  
...  

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