Long-term treated intensive care patients outcomes: the one-year mortality rate, quality of life, health care use and long-term complications as reported by general practitioners

Background Family members of critically ill patients experience indications of post–intensive care syndrome, including anxiety, depression, and posttraumatic stress disorder. Despite increased use of long-term acute care hospitals for critically ill patients, little is known about the impact of long-term hospitalization on patients’ family members. Objectives To examine indications of post–intensive care syndrome, coping strategies, and health-related quality of life among family decision makers during and after patients’ long-term hospitalization. Methods A single-center, prospective, longitudinal descriptive study was undertaken of family decision makers of adult patients admitted to long-term acute care hospitals. Indications of post–intensive care syndrome and coping strategies were measured on the day of hospital admission and 30 and 60 days later. Health-related quality of life was measured by using the Short Form-36, version 2, at admission and 60 days later. Results The sample consisted of 30 family decision makers. On admission, 27% reported moderate to severe anxiety, and 20% reported moderate to severe depression. Among the decision makers, 10% met criteria for a provisional diagnosis of posttraumatic stress disorder. At admission, the mean physical summary score for quality of life was 47.8 (SD, 9.91) and the mean mental summary score was 48.00 (SD, 10.28). No significant changes occurred during the study period. Problem-focused coping was the most frequently used coping strategy at all time points. Conclusion Family decision makers of patients in long-term acute care hospitals have a significant prevalence of indications of post–intensive care syndrome.

Download Full-text

Impact of adherence to long-term oxygen therapy on patients with COPD and exertional hypoxemia followed for one year

Jornal Brasileiro de Pneumologia ◽

10.1590/s1806-37562017000000019 ◽

2018 ◽

Vol 44 (5) ◽

pp. 390-397 ◽

Cited By ~ 2

Author(s):

Carolina Bonfanti Mesquita ◽

Caroline Knaut ◽

Laura Miranda de Oliveira Caram ◽

Renata Ferrari ◽

Silmeia Garcia Zanati Bazan ◽

...

Keyword(s):

Quality Of Life ◽

Oxygen Therapy ◽

Severe Hypoxemia ◽

Bode Index ◽

One Year ◽

Long Term Oxygen Therapy ◽

Minute Walk

ABSTRACT Objective: To determine the impact of adherence to long-term oxygen therapy (LTOT) on quality of life, dyspnea, and exercise capacity in patients with COPD and exertional hypoxemia followed for one year. Methods: Patients experiencing severe hypoxemia during a six-minute walk test (6MWT) performed while breathing room air but not at rest were included in the study. At baseline and after one year of follow-up, all patients were assessed for comorbidities, body composition, SpO2, and dyspnea, as well as for anxiety and depression, having also undergone spirometry, arterial blood gas analysis, and the 6MWT with supplemental oxygen. The Saint George’s Respiratory Questionnaire (SGRQ) was used in order to assess quality of life, and the Body mass index, airflow Obstruction, Dyspnea, and Exercise capacity (BODE) index was calculated. The frequency of exacerbations and the mortality rate were noted. Treatment nonadherence was defined as LTOT use for < 12 h per day or no LTOT use during exercise. Results: A total of 60 patients with COPD and exertional hypoxemia were included in the study. Of those, 10 died and 11 experienced severe hypoxemia during follow-up, 39 patients therefore being included in the final analysis. Of those, only 18 (46.1%) were adherent to LTOT, showing better SGRQ scores, higher SpO2 values, and lower PaCO2 values than did nonadherent patients. In all patients, SaO2, the six-minute walk distance, and the BODE index worsened after one year. There were no differences between the proportions of adherence to LTOT at 3 and 12 months of follow-up. Conclusions: Quality of life appears to be lower in patients with COPD and exertional hypoxemia who do not adhere to LTOT than in those who do. In addition, LTOT appears to have a beneficial effect on COPD symptoms (as assessed by SGRQ scores). (Brazilian Registry of Clinical Trials - ReBEC; identification number RBR-9b4v63 [http://www.ensaiosclinicos.gov.br])

Download Full-text

Effects of prolonged intensive care unit stay on quality of life and long-term survival after transthoracic esophageal resection

Critical Care Medicine ◽

10.1097/01.ccm.0000195016.55516.3e ◽

2006 ◽

Vol 34 (2) ◽

pp. 354-362 ◽

Cited By ~ 19

Author(s):

H A. Cense ◽

J B. F. Hulscher ◽

A G. E. M. de Boer ◽

D A. Dongelmans ◽

H W. Tilanus ◽

...

Keyword(s):

Quality Of Life ◽

Intensive Care Unit ◽

Intensive Care ◽

Intensive Care Unit Stay ◽

Esophageal Resection ◽

Term Survival ◽

Long Term Survival

Download Full-text

COVID-19 pandemic. Effects of stress

Clinical review for general practice ◽

10.47407/kr2020.1.2.00013 ◽

2020 ◽

Vol 1 (2) ◽

pp. 16-24

Author(s):

Elena S. Akarachkova ◽

◽

Anton A. Beliaev ◽

Dmitrii V. Blinov ◽

Evgenii V. Bugorskii ◽

...

Keyword(s):

Quality Of Life ◽

Health Care ◽

Preventive Health Care ◽

Preventive Health ◽

World Health ◽

Social Stability ◽

Short Term ◽

Health Organization

World Health Organization declared COVID-19 outbreak a pandemic on March 11, 2020. Fear of illness, self-isolation/quarantine, and reduced quality of life dramatically increased the prevalence of stress-related disorders in the population. Therefore, it is necessary to implement the preventive health-care measures aimed at short-term and long-term COVID-19 pandemic consequences reduction and promotion of social stability.

Download Full-text

Palliative Care

Advances in Medical Technologies and Clinical Practice - Modern Concepts and Practices in Cardiothoracic Critical Care ◽

10.4018/978-1-4666-8603-8.ch005 ◽

2015 ◽

pp. 105-123

Author(s):

May Hua

Keyword(s):

Quality Of Life ◽

Palliative Care ◽

Intensive Care ◽

Critical Illness ◽

Serious Illness ◽

Surgical Units ◽

Potential Benefits

Palliative care is a specialty of medicine that focuses on improving quality of life for patients with serious illness and their families. As the limitations of intensive care and the long-term sequelae of critical illness continue to be delimited, the role of palliative care for patients that are unable to achieve their original goals of care, as well as for survivors of critical illness, is changing and expanding. The purpose of this chapter is to introduce readers to the specialty of palliative care and its potential benefits for critically ill patients, and to present some of the issues related to the delivery of palliative care in surgical units.

Download Full-text