scholarly journals QUALITY OF LIFE DURING ONE YEAR FOLLOW UPAFTER INTENSIVE CARE DISCHARGE

2020 ◽  
pp. 66-69
Author(s):  
Praveen Pandey ◽  
L. D. Mishra

Patient treated in an Intensive care unit (ICU) are seriously ill. Have a high co‐morbidity, morbidity and mortality. ICUs are resource – demanding as they consume significant hospital resources for a minority of patients. The development of new medical procedures for critical care patients has over the years led to survival of large numbers with more complex illnesses and extensive injuries. Improved survival rates lead to needs for outcome measures other than survival. (1)Death and full recovery are two main and contrary outcomes of intensive care. As survivors often suffer from post intensive care unit (post‐ ICU) consequences, they cannot be regarded as fully recovered. Post‐ICU consequences are caused by an illness itself, organ dysfunction developed before ICU admission or acquired during the stay in the ICU, and/or prolonged intensive care support of failed organ(s). Organ failure in intensive care may have an impact on the life of ICU survivors long after their discharge from the ICU. To evaluate the quality of health and life in such patients as a whole, mere objective clinical or laboratory analyses are not enough. Subjective perception of the physical and mental quality of life by patients themselves becomes more and more important for the evaluation of post‐ICU outcomes.(2) As initial care advances and ICU mortality decreases number of survivors of critical illness is increasing. These survivors frequently experience longlasting complications of critical care. The purpose of this study is to understand these complications & implement evidence based practices to minimize them.

2020 ◽  
Vol 40 (3) ◽  
pp. e1-e8
Author(s):  
Erika Schlichter ◽  
Omar Lopez ◽  
Raymond Scott ◽  
Laura Ngwenya ◽  
Natalie Kreitzer ◽  
...  

Background The outcome focus for survivors of critical care has shifted from mortality to patient-centered outcomes. Multidimensional outcome assessments performed in critically ill patients typically exclude those with primary neurological injuries. Objective To determine the feasibility of measurements of physical function, cognition, and quality of life in patients requiring neurocritical care. Methods This evaluation of a quality improvement initiative involved all patients admitted to the neuroscience intensive care unit at the University of Cincinnati Medical Center. Interventions Telephone assessments of physical function (Glasgow Outcome Scale-Extended and modified Rankin Scale scores), cognition (modified Telephone Interview for Cognitive Status), and quality of life (5-level EQ-5D) were conducted between 3 and 6 months after admission. Results During the 2-week pilot phase, the authors contacted and completed data entry for all patients admitted to the neuroscience intensive care unit over a 2-week period in approximately 11 hours. During the 18-month implementation phase, the authors followed 1324 patients at a mean (SD) time of 4.4 (0.8) months after admission. Mortality at follow-up was 38.9%; 74.8% of these patients underwent withdrawal of care. The overall loss to follow-up rate was 23.6%. Among all patients contacted, 94% were available by the second attempt to interview them by telephone. Conclusions Obtaining multidimensional outcome assessments by telephone across a diverse population of neurocritically ill patients was feasible and efficient. The sample was similar to those in other cohort studies in the neurocritical care population, and the loss to follow-up rate was comparable with that of the general critical care population.


2015 ◽  
Vol 42 (2) ◽  
pp. 137-146 ◽  
Author(s):  
Pierre-Marc Villeneuve ◽  
Edward G. Clark ◽  
Lindsey Sikora ◽  
Manish M. Sood ◽  
Sean M. Bagshaw

2006 ◽  
Vol 34 (2) ◽  
pp. 354-362 ◽  
Author(s):  
H A. Cense ◽  
J B. F. Hulscher ◽  
A G. E. M. de Boer ◽  
D A. Dongelmans ◽  
H W. Tilanus ◽  
...  

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