[Changes in health-related quality of life after ICU according to diagnostic category. Comparison of two measurement instruments].

Abstract:

OBJECTIVE:Assessment of health related quality of life (HRQOL) before and 12 months after discharge from a mixed intensive care unit (ICU) according to diagnostic category and the relationship between both instruments. DESIGN:Prospective observational study. SETTING:The combined medical/surgical ICU in a secondary university hospital with 450 beds. PATIENTS:Patients admitted to the ICU over an 18-month period. MAIN VARIABLES:Variables on demography, diagnosis on admission, severity of acute illness score (APACHE II), length of stay, procedures, mortality and the HRQOL were collected using the Short Form SF-36 and EQ-5D questionnaires. Health status prior to admission was evaluated retrospectively. RESULTS:Both questionnaires were answered by 189 patients. A significant deterioration in the quality of life was observed 12 months after ICU discharge. Head injury and neurological patients had worse HRQOL one year after discharge. Multiple trauma patients presented severe physical limitations and pain, but without significant differences on the emotional level. The EQ Visual Analogue Scale and the EQ Index score showed clinically relevant differences in these three groups. Respiratory patients are the only group in whom the HRQOL improved. Comparison between both measurement instruments showed a strong correlation on the physical functioning level, but a weaker correlation on the emotional functioning one. CONCLUSIONS:HRQOL assessment of ICU patients must be done according to a diagnostic category. Both instruments (the EQ-5D and SF-36) are capable of detecting changes in HRQOL. Despite differences in structure and content, both measure similar aspects of quality of life.

journal_name

Med Intensiva

journal_title

Medicina intensiva

authors

Badia Castelló M,Trujillano Cabello J,Serviá Goixart L,March Llanes J,Rodríguez-Pozo A

doi

10.1016/s0210-5691(08)70942-2

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

203-15

issue

5

eissn

0210-5691

issn

1578-6749

pii

S0210-5691(08)70942-2

journal_volume

32

pub_type

杂志文章
  • Intensive care in cancer patients in the age of immunotherapy and molecular therapies: Commitment of the SEOM-SEMICYUC.

    abstract::Cancer patients are a vulnerable group exposed to numerous and serious risks beyond cancer itself. In recent years, the prognosis of these individuals has improved substantially thanks to several advances such as immunotherapy, targeted molecular therapies, surgical techniques, or developments in support treatment. Th...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.medin.2018.01.008

    authors: Carmona-Bayonas A,Gordo F,Beato C,Castaño Pérez J,Jiménez-Fonseca P,Virizuela Echaburu J,Garnacho-Montero J

    更新日期:2018-01-01 00:00:00

  • [Does decompressive craniectomy improve other parameters besides ICP? Effects of the decompressive craniectomy on tissular pressure?].

    abstract::Second level therapeutic maneuvres for controlling intracranial hypertension (ICH) proposed by the European Brain Injury Consortium and the American Association of Neurological Surgeons include barbiturates, moderate hypothermia and more recently the decompressive craniectomy (DC).In most patients, ICP can be maintain...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2010.09.011

    authors: Lubillo S,Blanco J,López P,Domínguez J,Ruiz C,Molina I,Morera J

    更新日期:2011-04-01 00:00:00

  • [Validation of intensive medicine degree in the United Kingdom].

    abstract::The specialty of Intensive Care Medicine was established over twenty years ago in Spain as part of the MIR (Resident training) system. The European Union allows for free circulation of its workers and the multilateral recognition of their university degrees as well as their postgraduate training. Unfortunately, our sp...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2010.11.002

    authors: de la Cerda G,Mateo D,Tan A,Quintano A,Kovacs N

    更新日期:2011-01-01 00:00:00

  • Brain death organ donation potential and life support therapy limitation in neurocritical patients.

    abstract:OBJECTIVE:To analyze the profile, incidence of life support therapy limitation (LSTL) and donation potential in neurocritical patients. STUDY DESIGN:A multicenter prospective study was carried out. SETTING:Nine hospitals authorized for organ harvesting for transplantation. PATIENTS:All patients consecutively admitte...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.medin.2014.07.010

    authors: Bodí MA,Pont T,Sandiumenge A,Oliver E,Gener J,Badía M,Mestre J,Muñoz E,Esquirol X,Llauradó M,Twose J,Quintana S

    更新日期:2015-08-01 00:00:00

  • [Diagnosis of brain death by multislice CT scan: angioCT scan and brain perfusion].

    abstract::BD was diagnosed by clinical examination, electroencephalogram (EEG), Transcranial Doppler (TCD) and multislice CT of 64 detectors. Initially, a brain perfusion study was performed. This was followed by supra-aortic trunk and brain artery angiography with acquisition of images using 0.5 mm slices, from the origin of t...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(07)74833-7

    authors: Escudero D,Otero J,Vega P,Gil A,Roger RL,Gonzalo JA,Muñiz G,Taboada F

    更新日期:2007-08-01 00:00:00

  • [Latin American survey on delirium in critical patients].

    abstract:OBJECTIVES:This study has aimed to establish the intensivist physician's concepts and practices in this region regarding the diagnosis, management and prevention of delirium in intensive care units (ICU). DESIGN:A survey was distributed among the FEPIMCTI member societies for distribution among its medical members. R...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2010.04.003

    authors: Ceraso DH,Dueñas-Castel C,Raimondi N,Celis E,Carrillo R,Ugarte Ubiergo S,Rodriguez F

    更新日期:2010-11-01 00:00:00

  • [Acute coronary syndrome (ACS) with elevated ST segment: consensus strategy for early reperfusion. The Public Enterprise for Health Emergencies and the ARIAM Project Andalusia].

    abstract:UNLABELLED:The two pillars of the appropriate management of patients with ST-elevation myocardial infarction (STEMI) are immediate access to defibrillation and early reperfusion. The Public Enterprise for Health Emergencies (EPES) and the Andalusian ARIAM (Analysis of the Delay in the Treatment of Acute Myocardial Infa...

    journal_title:Medicina intensiva

    pub_type: 共识发展会议,杂志文章,实务指引

    doi:10.1016/s0210-5691(07)74857-x

    authors: Rosell Ortiz F,Mellado Vergel FJ,Ruiz Bailén M,García Alcántara A,Reina Toral A,Arias Garrido J,Alvarez Bueno M,Grupo Cardiológico de EPES.,Grupo ARIAM de Andalucía.

    更新日期:2007-12-01 00:00:00

  • Liberal red blood cell transfusions impair quality of life after cardiac surgery.

    abstract:BACKGROUND:The optimal blood management after cardiac surgery remains controversial. Moreover, blood transfusions may have an impact on long-term outcomes. OBJECTIVE:The aim of this study is to characterize the impact of liberal red blood cell transfusions on Health-Related Quality of life (HRQoL) after cardiac surger...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2018.01.014

    authors: González-Pérez A,Al-Sibai JZ,Álvarez-Fernández P,Martínez-Camblor P,Argüello-Junquera M,García-Gala JM,Martínez-Revuelta E,Silva J,Morís C,Albaiceta GM

    更新日期:2019-04-01 00:00:00

  • Alcohol and/or drug abuse favors trauma recurrence and reduces the trauma-free period.

    abstract:AIM:A study is made of the influence of alcohol and/or drug abuse upon traumatismo recurrence, with an analysis of the influence of such abuse upon the time to appearance of first injury in patients without antecedents of trauma. DESIGN:A prospective observational study was made. SETTING:Trauma patients admitted to t...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2012.04.010

    authors: Cordovilla Guardia S,Rodríguez-Bolaños S,Guerrero López F,Lara-Rosales R,Pino Sánchez F,Rayo A,Fernández-Mondéjar E

    更新日期:2013-01-01 00:00:00

  • Efficacy of an extravascular lung water-driven negative fluid balance protocol.

    abstract:OBJECTIVE:To analyze the efficacy of negative fluid balance in hypoxemic patients with an elevated extravascular lung water index (EVLWI). DESIGN:A retrospective observational study was made. SETTING:Intensive Care Unit of Virgen de las Nieves Hospital (Spain). PARTICIPANTS:Forty-four patients participated in the st...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2014.07.008

    authors: Díaz-Rubia L,Ramos-Sáez S,Vázquez-Guillamet R,Guerrero-López F,Pino-Sánchez F,García-Delgado M,Gómez-Jiménez FJ,Fernández-Mondéjar E

    更新日期:2015-08-01 00:00:00

  • [Prolonged mechanical ventilation probability model].

    abstract:OBJECTIVE:To design a probability model for prolonged mechanical ventilation (PMV) using variables obtained during the first 24 hours of the start of MV. DESIGN:An observational, prospective, multicenter cohort study. SCOPE:Thirteen Spanish medical-surgical intensive care units. PATIENTS:Adult patients requiring mec...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.medin.2012.01.003

    authors: Añón JM,Gómez-Tello V,González-Higueras E,Oñoro JJ,Córcoles V,Quintana M,López-Martínez J,Marina L,Choperena G,García-Fernández AM,Martín-Delgado C,Gordo F,Díaz-Alersi R,Montejo JC,Lorenzo AG,Pérez-Arriaga M,Madero R

    更新日期:2012-10-01 00:00:00

  • [Indicators of quality in the critical patient].

    abstract::The utility of using quality indicators as a tool to measure the common practice and evaluate efficacy of measures established to improve quality has been demonstrated, making it possible to identify and make known the improvements carried out. The project "Quality indicators in the critical patient" has been conducte...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(08)70899-4

    authors: Martín MC,Cabré L,Ruiz J,Blanch L,Blanco J,Castillo F,Galdós P,Roca J,Saura RM,Grupos de trabajo de la Sociedad Española de Medicina Intensiva Crítica y Unidades Coronarias (SEMICYUC), Sociedad Española de Enfermería Intensiva y Unidad

    更新日期:2008-01-01 00:00:00

  • [Atrioventricular block in unstable angina. Results of the ARIAM registry].

    abstract:OBJECTIVE:Describe the frequency of high degree atrioventricular block (HDAVB) in patients with unstable angina (UA), analyze the variables associated with their appearance and evaluate whether HDAVB is independently associated with increased mortality or increased length of ICU stay. DESIGN:Retrospective descriptive ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(06)74566-1

    authors: Ruiz-Bailén M,Pola Gallego MD,Expósito Ruiz M,Pintor Mármol A,Issa-Khozouz Z,Aguayo De Hoyos E,Rucabado-Aguilar L,Castillo-Rivera AM,Morante-Valle A,Rodríguez-Puche JA,García-Alcántara A,Gómez Jiménez FJ,Grupo ARIAM.

    更新日期:2006-12-01 00:00:00

  • Advances in immunosuppression after lung transplantation.

    abstract::Immunosuppression in transplantation has experienced changes in recent years as a result of the introduction of new drugs that act upon the different pathways of the host immune response with the purpose of securing more individualized immune suppression, with fewer side effects. Although following in the steps of oth...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2012.05.011

    authors: Borro JM

    更新日期:2013-01-01 00:00:00

  • [Southern European intensive care nurses' knowledge of evidence-based guidelines for preventing ventilator-associated pneumonia].

    abstract:OBJECTIVES:To assess Southern European intensive care unit nurses' knowledge about evidence-based guidelines for the prevention of ventilator-associated pneumonia and to compare these findings with a pan-European perspective. DESIGN:A sub-analysis from an observational study performed using a 9-questions, multiple-cho...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2010.07.012

    authors: Llauradó M,Labeau S,Vandijck D,Rello J,Rosa A,Riera A,Gallart E,Moreno R,Vandewoude K,Piñer R,Benítez ML,Blot S,Investigadores del Estudio EVIDENCE.,Colaboradores del PROCORNEU (Programa Corporativo Neumonía CIBERES).

    更新日期:2011-01-01 00:00:00

  • Hemodynamic resuscitation with fluids bolus and norepinephrine increases severity of lung damage in an experimental model of septic shock.

    abstract:OBJECTIVE:Hemodynamic resuscitation is considered a cornerstone of the initial treatment of septic shock. However, there is growing concern about its side effects. Our objective was to assess the relationship between fluid administration and norepinephrine infusion and the development of lung injury. DESIGN:Randomized...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2020.05.011

    authors: Guijo Gonzalez P,Gracia Romero MA,Gil Cano A,Garcia Rojo M,Cecconi M,Monge Garcia IM

    更新日期:2020-07-24 00:00:00

  • Prognostic factors associated with mortality in patients with severe trauma: from prehospital care to the Intensive Care Unit.

    abstract:OBJECTIVE:To identify factors related to mortality in adult trauma patients, analyzing the clinical, epidemiological and therapeutic characteristics at the pre-hospital levels, in the Emergency Care Department and in Intensive Care. DESIGN:A retrospective, longitudinal descriptive study was carried out. Statistical an...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2014.06.004

    authors: González-Robledo J,Martín-González F,Moreno-García M,Sánchez-Barba M,Sánchez-Hernández F

    更新日期:2015-10-01 00:00:00

  • Predictive scoring systems in multiorgan failure: A cohort study.

    abstract:OBJECTIVE:An evaluation is made of the hospital mortality predicting capacity of the main predictive scoring systems. DESIGN:A 2-year retrospective cohort study was carried out. SETTING:A third level ICU with surgical and medical patients. PATIENTS:All patients with multiorgan failure during the first day in the ICU...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2015.03.005

    authors: Sánchez-Casado M,Hostigüela-Martín VA,Raigal-Caño A,Labajo L,Gómez-Tello V,Alonso-Gómez G,Aguilera-Cerna FM

    更新日期:2016-04-01 00:00:00

  • Blood caspase-8 concentrations and mortality among septic patients.

    abstract:OBJECTIVE:No data are available on blood caspase-8 concentrations (the initiator caspase in the extrinsic apoptosis pathway) in septic patients. The present study thus describes the blood caspase-8 concentrations in survivors and non-survivors, and examines the possible association between blood caspase-8 concentration...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2020.06.016

    authors: Lorente L,Martín MM,Ortiz-López R,González-Rivero AF,Pérez-Cejas A,Martín M,Gonzalez V,Pérez A,Rodin M,Jiménez A

    更新日期:2020-08-22 00:00:00

  • [Severe pediatric head injuries (II): factors associated to morbidity-mortality].

    abstract:OBJECTIVE:To describe the factors associated to morbidity-mortality in pediatric patients with severe head injury (SHI). MATERIAL AND METHOD:A review was made of the patients admitted to the Pediatric Intensive Care Unit (PICU) with SHI between July 1983 and December 2009. RESULTS:Of the 389 patients with head injuri...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2011.02.006

    authors: López Álvarez JM,Valerón Lemaur ME,Pérez Quevedo O,Limiñana Cañal JM,Jiménez Bravo de Laguna A,Consuegra Llapurt E,Morón Saén de Casas A,González Jorge R

    更新日期:2011-08-01 00:00:00

  • [Changes observed in three quality indicators after the implementation of improvement strategies in the respiratory intensive care unit].

    abstract:OBJECTIVE:To compare the results of quality monitoring after the implementation of improvement strategies in the respiratory intensive care unit (RICU). DESIGN:A prospective, comparative, longitudinal and interventional study was carried out. SETTING:The RICU of Hospital General de México (Mexico). PATIENTS:All pati...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2014.01.006

    authors: Álvarez Maldonado P,Cueto Robledo G,Cicero Sabido R

    更新日期:2015-04-01 00:00:00

  • [Early non-invasive diagnosis of posttraumatic carotid-cavernous fistula diagnosed by transcranial color-coded duplex sonography: analysis of 4 patients].

    abstract::Posttraumatic carotid-cavernous fistula (PtCCF) is an uncommon complication after cranioencephalic trauma. It is usually diagnosed with a cerebral arteriography when the clinical symptoms have already appeared. The transcranial color-coded duplex sonography (TCDS) is a non-invasive technique at the patient's bedside t...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(07)74769-1

    authors: Llompart-Pou JA,Abadal JM,Pérez-Bárcena J,Homar J,Rodríguez A,Ibáñez J

    更新日期:2007-01-01 00:00:00

  • [Differential characteristics of patients with acute coronary syndrome without ST-segment elevation compared to those with transient ST-segment elevation].

    abstract:OBJECTIVE:To evaluate different characteristics of patients with acute coronary syndrome (ACS) without ST-segment elevation compared with transient St-segment elevation. DESIGN:An observational, prospective study. SETTING:A 12-bed coronary care unit. PATIENTS:Consecutive patients of ACS without persistent ST-segment...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2011.01.007

    authors: Arroyo Úcar E,Domínguez-Rodríguez A,Juárez Prera R,Blanco Palacios G,Hernández García C,Carrillo-Pérez Tome M,Abreu-González P

    更新日期:2011-06-01 00:00:00

  • [Location of the central venous catheter tip in the right atrium: description in 2348 critical patients].

    abstract:OBJECTIVE:to document possible complications related to the location of central venous catheter (CVC) tip in the right atrium (RA) in two medical-surgical intensive care units (ICU). DESIGN:An observational, retrospective study of critically ill patients. SETTING:two medical-surgical ICUs. PATIENTS:adult patients in...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2010.07.003

    authors: Torres-Millán J,Torres-López M,Benjumea-Serna M

    更新日期:2010-12-01 00:00:00

  • Role of circulating soluble chemokines in septic shock.

    abstract:PURPOSE:Chemokines are a large superfamily of small proteins that function not only in leukocyte trafficking, but are also necessary for linkage between innate and adaptive immunity. Little is known about their role in septic shock. We hypothesized that serum levels of the most important chemokines are related to organ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2012.09.008

    authors: de Pablo R,Monserrat J,Prieto A,Alvarez-Mon M

    更新日期:2013-11-01 00:00:00

  • [Use of neuromuscular blockers in the critical patient].

    abstract::The use of neuromuscular blockers (NMB) is a frequent practice in Intensive Care Units. However most of the experience with the use of these agents come from the operating room used to deal with patients with different characteristics from those admitted in the ICU. Recent advances on neuromonitoring and the commercia...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审

    doi:

    authors: Sandiumenge A,Anglés R,Martínez-Melgar JL,Torrado H,Grupo de Trabajo de Analgesia y Sedación de la SEMICYUC.

    更新日期:2008-02-01 00:00:00

  • [Guidelines for specialized nutritional and metabolic support in the critically ill-patient. Update. Consensus of the Spanish Society of Intensive Care Medicine and Coronary Units-Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE): sever

    abstract::Severe acute pancreatitis (SAP) causes local and systemic complications leading to high catabolic, hypermetabolic and hyperdynamic stress states with marked morbidity and mortality. In the last decade, nutritional support has become a key element in the treatment of SAP. Thus, specialized nutrition is indicated from a...

    journal_title:Medicina intensiva

    pub_type: 共识发展会议,杂志文章,实务指引

    doi:10.1016/S0210-5691(11)70007-9

    authors: Bordejé Laguna L,Lorencio Cárdenas C,Acosta Escribano J,Spanish Society of Intensive Care Medicine and Coronary Units-Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE).

    更新日期:2011-11-01 00:00:00

  • [Absence of benefit with triple antiaggregation in acute non persistent ST segment elevation myocardial infarction in patients not subjected to early interventionism].

    abstract:OBJECTIVE:To assess the efficacy and safety of a treatment with clopidogrel when associated or not to the treatment with tirofiban and aspirin for high-risk non-ST segment elevation myocardial infarction (non-STEMI), without early angioplasty. SETTING:Intensive Care and Coronary Unit (ICCU), in a center with no Hemody...

    journal_title:Medicina intensiva

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0210-5691(07)74801-5

    authors: Blancas Gómez-Casero R,Nevado Losada E,López Matamala B,Martínez Díaz C,Serrano Castañeda J,Yáñez Parareda E,González Manzanares JL,Chana García M,Martín Delgado C

    更新日期:2007-05-01 00:00:00

  • [Safety and efficacy of the MARS therapy applied by continuous renal replacement therapy (CRRT) monitors].

    abstract:OBJECTIVE:Analyze the utility and safety of MARS therapy applied with the CRRT monitor. DESIGN:Prospective study of cohorts. SCOPE:Polyvalent ICU in tertiary university hospital with hepatic transplantation program. PATIENTS:Thirty one patients: 9 (22.6%) with acute liver failure (ALF) (1 hepatic surgery, 1 primary ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(07)74841-6

    authors: Herrera-Gutiérrez ME,Seller-Pérez G,Lebrón-Gallardo M,Jiménez-Pérez M,Moreno-López JM,Muñoz-López A

    更新日期:2007-10-01 00:00:00

  • The American-European Consensus Conference definition of the acute respiratory distress syndrome is dead, long live positive end-expiratory pressure!

    abstract::In 1994, an American-European Consensus Conference (AECC) formalized the criteria for the diagnosis of the acute respiratory distress syndrome (ARDS). Although that definition is simple to apply in the clinical setting, it has been challenged over the years in several studies since the assessment of the oxygenation de...

    journal_title:Medicina intensiva

    pub_type: 共识发展会议,杂志文章

    doi:10.1016/j.medin.2012.08.010

    authors: Villar J,Kacmarek RM

    更新日期:2012-11-01 00:00:00