A comparison of outcomes among hospital survivors with and without severe comorbidity admitted to the intensive care unit.

Abstract:

:Little is known about the experiences of patients with severe comorbidity discharged from Intensive Care Units (ICUs). This project aimed to determine the effects of an ICU stay for patients with severe comorbidity by comparing 1) quality of life (QOL), 2) the symptom profile of hospital survivors and 3) health service use after hospital discharge for patients admitted to ICU with and without severe comorbidity. A case-control study was used. Patients with severe comorbidity were matched to a contemporaneous cohort of ICU patients by age and severity of illness. Assessment tools were the Medical Outcome Study 36-item short-form and European Organisation for Research and Treatment of Cancer QLQ-C15-PAL questionnaires for QOL and the Symptom Assessment Scale for symptom distress. A proportional odds assumption was performed using an ordinal regression model. The difference in QOL outcome was the dependent variable for each pair. Health service use after discharge from ICU was monitored with patient diaries. Patients aged 18+ years admitted to an ICU in a metropolitan teaching hospital between 2011 and 2012 were included. We recruited 30 cases and 30 controls. QOL improved over the six months after hospital discharge for patients with and without severe comorbidity (P <0.01) within the groups but there was no difference found between the groups (P >0.3). There was no difference in symptoms or health service use between patients with and without severe comorbidity. ICU admission for people with severe comorbidity can be appropriate to stabilise the patient's condition and is likely to be followed by some overall improvement over the six months after hospital discharge.

journal_name

Anaesth Intensive Care

authors

Williams TA,McConigley R,Leslie GD,Dobbs GJ,Phillips M,Davies H,Aoun S

doi

10.1177/0310057X1504300214

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

230-7

issue

2

eissn

0310-057X

issn

1448-0271

pii

20140160

journal_volume

43

pub_type

杂志文章
  • The prevalence of latex allergy in operating theatre staff.

    abstract::Latex allergy has become increasingly common amongst health care workers. The prevalence of latex allergy in 102 theatre personnel at Princess Alexandra Hospital was determined by the results of a standardized questionnaire and a latex specific IgE radioallergosorbent test (RAST). Volunteers had their forced expirator...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0102900108

    authors: Hack ME

    更新日期:2001-02-01 00:00:00

  • Attitudes and practices of New Zealand anaesthetists with regard to epidural and subarachnoid anaesthesia.

    abstract::A survey was conducted among 259 New Zealand specialist anaesthetists to assess attitudes and practices with regard to epidural or subarachnoid anaesthesia (ESA). Ninety-four per cent replied and virtually all of the respondents indicated that they performed ESA at some time. ESA was used by most anaesthetists for mos...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9602400114

    authors: Rodgers A,Sage D,Futter M,MacMahon S

    更新日期:1996-02-01 00:00:00

  • The bispectral index during an anaphylactic circulatory arrest.

    abstract::A 47-year-old woman with Cushing's syndrome suffered a severe anaphylactic reaction on induction of anaesthesia, resulting in circulatory arrest. A spontaneous cardiac output appeared after 25 minutes of chest compression and she regained consciousness three hours later, with no neurological deficit. A Bispectral Inde...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0102900518

    authors: Kluger MT

    更新日期:2001-10-01 00:00:00

  • The relationship between superior vena cava diameter and collapsibility and central venous pressure.

    abstract::The aim of this study was to assess the relationship between superior vena cava (SVC) diameter, collapsibility and central venous pressure (CVP) in cardiac surgical patients. SVC maximum and minimum diameters, plus collapsibility with ventilation, were measured with transoesophageal echocardiography in the mid-oesopha...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1504300312

    authors: Cowie BS,Kluger R,Rex S,Missant C

    更新日期:2015-05-01 00:00:00

  • The effect of inhalational anaesthesia during deceased donor organ procurement on post-transplantation graft survival.

    abstract::Many deceased by neurologic criteria donors are administered inhalational agents during organ recovery surgery-a process that is characterised by warm and cold ischaemia followed by warm reperfusion. In certain settings, volatile anaesthetics (VA) are known to precondition organs to protect them from subsequent ischae...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1804600206

    authors: Perez-Protto S,Nazemian R,Matta M,Patel P,Wagner KJ,Latifi SQ,Lebovitz DJ,Reynolds JD

    更新日期:2018-03-01 00:00:00

  • Nerve blocks around the knee in children.

    abstract::Analgesia below the knee can be achieved by blocking the tibial nerve and the common peroneal nerve in the popliteal fossa, and the saphenous nerve adjacent to the knee. The anatomy and technique of nerve block in the popliteal fossa is described, the nerve being located prior to blockade using a peripheral nerve stim...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8401200103

    authors: Kempthorne PM,Brown TC

    更新日期:1984-02-01 00:00:00

  • The patient's view of anaesthesia in an Australian teaching hospital.

    abstract::One hundred and thirty-nine patients undergoing routine surgical procedures over a five-day period at Royal Brisbane Hospital were interviewed after operation. 66.2% of patients were aware that an anaesthetist needed a medical qualification. 76% expected their anaesthetic to be without complications. 80% were seen pre...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8201000105

    authors: Burrow BJ

    更新日期:1982-02-01 00:00:00

  • The cerebral and systemic kinetics of thiopentone and propofol in halothane anaesthetized sheep.

    abstract::The cerebral and systemic kinetics of intravenous thiopentone (250 mg over 2 minutes, n=5) and propofol (100 mg over 2 minutes, n=6) were determined in sheep anaesthetized with halothane (2.0%) and mechanically ventilated to an end-expired carbon dioxide tension of 40 mmHg. The sheep were previously instrumented with ...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0102900205

    authors: Upton RN,Ludbrook GL,Grant C

    更新日期:2001-04-01 00:00:00

  • The comparative effects of propofol versus thiopentone on left ventricular function during electroconvulsive therapy.

    abstract::The purpose of this study was to compare the effect of propofol versus thiopentone on haemodynamics during electroconvulsive therapy (ECT), as estimated by echocardiography. Twenty-eight ASA 1 or 2 patients scheduled for ECT were randomly divided into two groups, to receive propofol 1 mg/kg (propofol group, n = 14) or...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X0303100205

    authors: Kadoi Y,Saito S,Ide M,Toda H,Sekimoto K,Seki S,Takahashi K,Goto F

    更新日期:2003-04-01 00:00:00

  • Equivalent metabolic acidosis with four colloids and saline on ex vivo haemodilution.

    abstract::Colloid infusions can cause metabolic acidosis. Mechanisms and relative severity with different colloids are incompletely understood. We compared haemodilution acid-base effects of 4% albumin, 3.5% polygeline, 4% succinylated gelatin (all weak acid colloids, strong ion difference 12 mEq/l, 17.6 mEq/l and 34 mEq/l resp...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0903700304

    authors: Morgan TJ,Vellaichamy M,Cowley DM,Weier SL,Venkatesh B,Jones MA

    更新日期:2009-05-01 00:00:00

  • A longitudinal study of 100 consecutive admissions for carbon monoxide poisoning to the Royal Adelaide Hospital.

    abstract::A longitudinal study of one hundred consecutive admissions to the Royal Adelaide Hospital for carbon monoxide poisoning was conducted from 1986 to 1989. Twenty-five patients left hospital with persistent symptoms and signs of this poisoning. Five subsequently recovered. Twenty-four other patients, who were well when t...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9202000306

    authors: Gorman DF,Clayton D,Gilligan JE,Webb RK

    更新日期:1992-08-01 00:00:00

  • Hypoxia in children following general anaesthesia.

    abstract::The oxygen saturations of 152 children were studied for the first 30 minutes following general anaesthesia with a pulse oximeter. Thirty-six patients (24%) recorded oxygen saturations of less than 90% while breathing room air and in all cases this occurred during the first ten minutes. Intubation (P less than 0.001), ...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8801600208

    authors: Tomkins DP,Gaukroger PB,Bentley MW

    更新日期:1988-05-01 00:00:00

  • Assessment of diaphragmatic function with cervical magnetic stimulation in critically ill patients.

    abstract::The objective of this study was to evaluate a non-volitional measurement to assess diaphragmatic function in intubated and mechanically ventilated patients in a prospective pilot interventional clinical trial. The study was conducted in an 18-bed postoperative intensive care unit based at a university hospital. Patien...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章

    doi:10.1177/0310057X0503300410

    authors: Buscher H,Valta P,Boie T,Hinz J,Moerer O,Sydow M,Mudaliar MY,Burchardi H

    更新日期:2005-08-01 00:00:00

  • High-dose adrenaline in adult in-hospital asystolic cardiopulmonary resuscitation: a double-blind randomised trial.

    abstract::Forty intensive care unit patients requiring cardiopulmonary resuscitation were randomised to receive either the standard dose of adrenaline (1 mg every five minutes) or high-dose adrenaline (10 mg every five minutes). In the majority of patients, overwhelming sepsis was the major contributing factor leading to cardia...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9302100210

    authors: Lipman J,Wilson W,Kobilski S,Scribante J,Lee C,Kraus P,Cooper J,Barr J,Moyes D

    更新日期:1993-04-01 00:00:00

  • Predictors of physician confidence to diagnose pneumonia and determine illness severity in ventilated patients. Australian and New Zealand practice in intensive care (ANZPIC II).

    abstract::The manner in which elements of clinical history, physical examination and investigations influence subjectively assessed illness severity and outcome prediction is poorly understood. This study investigates the relationship between clinician and objectively assessed illness severity and the factors influencing clinic...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0310057X0503300117

    authors: Boots RJ,Lipman J,Bellomo R,Stephens D,Heller RE

    更新日期:2005-02-01 00:00:00

  • Depth of central venous catheter insertion in adults: an audit and assessment of a technique to improve tip position.

    abstract::A technique of subclavian vein catheterization is described, tailored to the individual patient, to reduce the risk of right atrial placement with central venous catheter (CVC) insertion. Using data gathered retrospectively for Quality Improvement purposes, CVC tip location was assessed. The standard technique used in...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章

    doi:10.1177/0310057X9802600109

    authors: Chalkiadis GA,Goucke CR

    更新日期:1998-02-01 00:00:00

  • Spinal pethidine for elective caesarean section.

    abstract::Pethidine (meperidine) is a unique member of the opioid family. In addition to its analgesic activity, it also has significant local anaesthetic activity. This property enables it to be used as the sole agent for spinal anaesthesia. We describe the successful use of intrathecal pethidine 1 mg/kg for an elective lower ...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1304100119

    authors: Vassiliadis RM,Taylor PG

    更新日期:2013-01-01 00:00:00

  • An outbreak of hepatitis A in an intensive care unit.

    abstract::We describe an outbreak of hepatitis A that occurred in an Intensive Care Unit (ICU) in a regional hospital in North Queensland. Seven people were infected including two patients, two close contacts of the index patient and three ICU nursing staff. The index case was admitted with an overdose and multiple trauma; he w...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9602400405

    authors: Hanna JN,Loewenthal MR,Negel P,Wenck DJ

    更新日期:1996-08-01 00:00:00

  • Surgery without pain--Part II: 1800-1847.

    abstract::This paper was commissioned to cover the beginning of anaesthesia: the transition from surgical operations with pain to those without. It reviews some previous pre-anaesthetic histories (Part I): it focuses upon attitudes to pain; and it seeks evidence from the one hundred years before the discovery of anaesthesia. Fi...

    journal_title:Anaesthesia and intensive care

    pub_type: 传,历史文章,杂志文章

    doi:10.1177/0310057X8601400214

    authors: Smith WD

    更新日期:1986-05-01 00:00:00

  • Ventilator-CPAP with the Siemens Servo 900C compared with continuous flow-CPAP in intubated patients: effect on work of breathing.

    abstract::The effects of continuous positive airway pressure (CPAP) provided by the Siemens Servo 900C ventilator were compared with a continuous flow system (CF-CPAP) in patients weaning from the ventilator. Thirteen patients were studied using both systems at a CPAP level of 0.5 kPa. Additional work of breathing (Wapp) and de...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9702500506

    authors: Aerts JG,van den Berg B,Bogaard JM

    更新日期:1997-10-01 00:00:00

  • Intensive care costing methodology: cost benefit analysis of mask continuous positive airway pressure for severe cardiogenic pulmonary oedema.

    abstract::Costing data for intensive care admissions is important, not only for unit funding, but also for cost outcome analysis of new therapies. This paper presents an intensive care episode costing methodology using the example of a cost-benefit analysis of mask CPAP for severe cardiogenic pulmonary oedema (CPO). This analys...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9402200209

    authors: Holt AW,Bersten AD,Fuller S,Piper RK,Worthley LI,Vedig AE

    更新日期:1994-04-01 00:00:00

  • Alleged allergy to local anaesthetics.

    abstract::The aim of this study was to determine the incidence of true local anaesthetic allergy in patients with an alleged history of local anaesthetic allergy and whether subsequent exposure to local anaesthetics is safe. Two hundred and eight patients with a history of allergy to local anaesthesia were referred over a twent...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9702500602

    authors: Fisher MM,Bowey CJ

    更新日期:1997-12-01 00:00:00

  • Retro-orbital tumour--an uncommon cause of headache in pregnancy.

    abstract::Retro-orbital tumour was the cause of headache and neuropathic facial pain in a 31-year-old pregnant woman. The diagnosis had been overlooked as a result of a long history of migraine. There was exacerbation of the pain throughout the pregnancy, particularly in the third trimester. Pharmacological agents commonly used...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0102900310

    authors: Roberts LJ,Goucke CR

    更新日期:2001-06-01 00:00:00

  • Prevalence and predictors of persistent post-surgical opioid use: a prospective observational cohort study.

    abstract::Post-surgical opioid prescribing intended for the short-term management of acute pain may lead to long-term opioid use. This study was undertaken to determine the prevalence of persistent post-surgical opioid use and patient-related factors associated with post-surgical opioid use. One thousand and thirteen opioid-naï...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1704500609

    authors: Stark N,Kerr S,Stevens J

    更新日期:2017-11-01 00:00:00

  • Intensive care medicine trainees' perception of professionalism: a qualitative study.

    abstract::The Competency-Based Training program in Intensive Care Medicine in Europe identified 12 competency domains. Professionalism was given a prominence equal to technical ability. However, little information pertaining to fellows' views on professionalism is available. A nationwide qualitative study was performed. The mod...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1103900118

    authors: van Mook WN,De Grave WS,Gorter SL,Zwaveling JH,Schuwirth LW,van der Vleuten PM

    更新日期:2011-01-01 00:00:00

  • Lack of effect of prophylactic N-acetylcysteine on postoperative organ dysfunction following major abdominal tumour surgery: a randomized, placebo-controlled, double-blinded clinical trial.

    abstract::Sepsis and respiratory dysfunction leading to multiple system organ failure remains the leading cause of postoperative morbidity and mortality following major surgical procedures. It has been suggested the oxygen free radicals might play a pivotal role in this process. The aim of this study was to investigate whether ...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X0303100304

    authors: Szakmany T,Marton S,Molnar Z

    更新日期:2003-06-01 00:00:00

  • Evaluation of a new blood warmer.

    abstract::Although some features are excellent, the Gorman-Rupp "dry heat' warmer has serious weaknesses which render part of the electrical circuit susceptible to water. Its heating ability is quite good but not completely adequate at flows of 150 ml/min. It creates a moderate resistance to blood flow and flow by gravity would...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8000800315

    authors: Russell WJ

    更新日期:1980-08-01 00:00:00

  • The perioperative effects of oral premedication in children.

    abstract::The pre- and postoperative effects of oral diazepam (0.5 mg/kg), trimeprazine (4 mg/kg), pentobarbitone (3 mg/kg) and a placebo were compared in a randomized double-blind clinical trial in 149 children, aged one to ten years, undergoing adenotonsillectomy. The anaesthetic was standardised and each patient received int...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9001800102

    authors: van der Walt JH,Jacob R,Murrell D,Bentley M

    更新日期:1990-02-01 00:00:00

  • Rohrer's constant, K2, as a factor of determining inspiratory resistance of common adult endotracheal tubes.

    abstract::The aim of the study was to calculate the in vitro inspiratory resistance (R(ETT)) of adult endotracheal tubes (ETT), via the end-inspiratory occlusion method, and to apply this method in vivo in order to estimate R(ETT) value in real time. By plotting R(ETT) over inspiratory flow (V) and calculating Rohrer's coeffici...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1103900311

    authors: Flevari AG,Maniatis N,Kremiotis TE,Siempos I,Betrosian AP,Roussos C,Douzinas E,Armaganidis A

    更新日期:2011-05-01 00:00:00

  • Pathophysiology and management of raised intracranial pressure.

    abstract::The mechanism of cerebral homeostasis is reviewed, paying particular attention to the way blood-brain barrier, cerebrospinal fluid and cerebral blood flow contribute to the maintenance of normal intracranial pressure. The pathophysiology of raised intracranial pressure is outlined delineating the different types of ce...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,评审

    doi:10.1177/0310057X8100900405

    authors: Jones RF,Dorsch NW,Silverberg GD,Torda TA

    更新日期:1981-11-01 00:00:00