Single-center large-cohort study into quality of life in Dutch intensive care unit subgroups, 1 year after admission, using EuroQoL EQ-6D-3L.

Abstract:

PURPOSE:The goal of this study was to describe long-term survival and health-related quality of life (HRQoL), measured by EQ-6D, in a general intensive care unit (ICU) population. MATERIALS AND METHODS:We included 5934 consecutive adult patients admitted to a mixed-population ICU. There were no exclusion criteria. One-year survival status was determined using the Dutch municipal population register. Subsequently, all survivors received the EuroQoL EQ-6D-3L questionnaire. The primary outcome was overall HRQoL and survival of the ICU survivors, compared to overall QoL of an age- and sex-matched reference population. RESULTS:A total of 5138 patients (86.6%) survived until hospital discharge, with 4647 (78.3%) patients surviving the 1-year of follow-up. The EuroQoL questionnaire was sent to 4465 survivors and returned by 3034 (68.0%) of 4465. The median HRQoL in surviving patients was 0.83 (interquartile range [IQR], 0.64-1.00) vs 0.86 (IQR, 0.85-0.86) in the reference population (P < .001). There was marked variation across admission diagnosis groups: cardiac surgery patients had an HRQoL of 0.94 (IQR, 0.74-1.00), whereas patients admitted with chronic renal failure had an HRQoL of 0.65 (IQR, 0.47-0.83). CONCLUSIONS:One year after ICU admission, HRQoL was significantly lower than in the reference population. Notably, marked variations were found across subgroups.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Soliman IW,de Lange DW,Peelen LM,Cremer OL,Slooter AJ,Pasma W,Kesecioglu J,van Dijk D

doi

10.1016/j.jcrc.2014.09.009

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

181-6

issue

1

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(14)00387-6

journal_volume

30

pub_type

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