Health-related Quality of Life Evaluated by MOS SF-36 in the Elderly Patients 1 Month before ICU Admission and 3 Months after ICU Discharge.

Autor:	Zeggwagh, Zineb, Abidi, Khalid, Kettani, Mohamed N. Z., Iraqi, Amina, Dendane, Tarek, Zeggwagh, Amine Ali
Předmět:	INTENSIVE care units AGE distribution FUNCTIONAL status PATIENTS CRITICALLY ill patient psychology CATASTROPHIC illness HOSPITAL admission & discharge HOSPITAL mortality SEVERITY of illness index QUALITY of life QUESTIONNAIRES DESCRIPTIVE statistics DISCHARGE planning LONGITUDINAL method EDUCATIONAL attainment OLD age
Zdroj:	Indian Journal of Critical Care Medicine; Jul2020, Vol. 24 Issue 7, p531-538, 8p, 2 Diagrams, 4 Charts, 1 Graph
Abstrakt:	Objectives: The aims of this study were to evaluate changes in health-related quality of life (HRQoL) before ICU admission and after ICU discharge in elderly patients and to determine predictors of this HRQoL. Materials and methods: This prospective study has been realized in the medical ICU (August 2012-March 2013). All patients 65 years of age or older who were hospitalized for ≥48 hours in our medical ICU have been included. The HRQoL was assessed 1 month prior to ICU admission in all the patients at admission and 3 months after ICU discharge for survivors using the Arabic version of MOS SF-36 questionnaire. Results: We enrolled 118 patients (66 M: 55.9% and 52 F: 44.1%). The mean age was 72 ± 6 years. ICU mortality rate was 47.5% and three-month mortality rate was 55.1%. The reliability and validity of MOS SF-36 were satisfactory. Among the 53 survivors at follow-up, the subscales of MOS SF-36 decreased significantly at 3 months after ICU stay except the "Bodily Pain". The physical component score (PCS) and mental component score (MCS) decreased also significantly. The independent factors strongly associated with PCS and its variations were: age (β = -1.56, p = 0.001), prior functional status (β = -22.10, p = 0.002) and SAPSII (β = -0.16, p = 0.04). For MCS, these factors were: live alone (β = 16.50, p = 0.006), previous functional status (β = -9.09, p = 0.008) and existence of education level (β = 2.98, p = 0.037). Conclusion: We demonstrated a fall in the physical and psychical aspects of HRQoL 3 months after ICU discharge in the elderly patients. In addition to factors such as age, prior functional status and severity of illness, family status and educational level seem decisive in the post-ICU HRQoL. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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