Long-term health-related quality of life of adult patients treated with extracorporeal membrane oxygenation (ECMO): An integrative review.

Autor: Knudson KA; Yale School of Nursing, 400 West Campus Drive, Orange, CT 06477, United States. Electronic address: krista.knudson@yale.edu., Gustafson CM; Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Rd NE, Atlanta, GA 30322, United States. Electronic address: CGUSTA4@emory.edu., Sadler LS; Yale School of Nursing, 400 West Campus Drive, Orange, CT 06477, United States. Electronic address: lois.sadler@yale.edu., Whittemore R; Yale School of Nursing, 400 West Campus Drive, Orange, CT 06477, United States. Electronic address: robin.whittemore@yale.edu., Redeker NS; Yale School of Nursing, 400 West Campus Drive, Orange, CT 06477, United States. Electronic address: nancy.redeker@yale.edu., Andrews LK; Yale School of Nursing, 400 West Campus Drive, Orange, CT 06477, United States. Electronic address: laura.andrews@yale.edu., Mangi A; Yale School of Medicine, 333 Cedar Street, New Haven, CT 06510, United States. Electronic address: abeel.mangi@yale.edu., Funk M; Yale School of Nursing, 400 West Campus Drive, Orange, CT 06477, United States. Electronic address: marjorie.funk@yale.edu.
Jazyk: angličtina
Zdroj: Heart & lung : the journal of critical care [Heart Lung] 2019 Nov - Dec; Vol. 48 (6), pp. 538-552.
DOI: 10.1016/j.hrtlng.2019.08.016
Abstrakt: Background: Extracorporeal membrane oxygenation (ECMO), a rescue treatment for patients with severe pulmonary and/or cardiac dysfunction, is increasingly being used worldwide. A better understanding of long-term health-related quality of life (HRQOL) is needed.
Objective: To synthesize research on long-term (at least 6 months post-ECMO) HRQOL of adults treated with ECMO.
Methods: In this integrative review, we searched 3 electronic databases and did a hand search of relevant journals for articles published 2000-2019, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Results: Thirty-one studies, representing 913 patients treated with ECMO, were included. Long-term HRQOL was slightly better for patients treated with veno-venous ECMO than veno-arterial ECMO, and mental health outcomes tended to be better than physical ones. Survivors frequently experienced physical complications, functional limitations, anxiety, depression, and post-traumatic stress symptoms, although improvements were observed over time.
Conclusions: Early identification and management of physical and mental health problems may improve HRQOL outcomes.
(Copyright © 2019 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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