Quality of life assessment following amputation for septic shock: a long-term descriptive survey after symmetric peripheral gangrene
| Autor: | Gérard Chiesa, Quoc Phan Sy, Isabelle Laroyenne, Anne Brunon Martinez, Jean Paysant, L. Borrini, Marie-Christine Cristina, Jérémie Lemarié, Pierre-Edouard Bollaert, Rémi Klotz, Pierre Labroca |
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| Přispěvatelé: | Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Service de médecine physique et de réadaptation (MPR), Fondation Sainte Marie, Médecine physique et de réadaptation [Rennes] (MPR), CHU Pontchaillou [Rennes], Institut Régional de Médecine Physique et de Réadaptation Louis Pierquin [Nancy] (IRR Louis Pierquin) |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Health Status [SDV]Life Sciences [q-bio] Critical Care and Intensive Care Medicine Amputation Surgical Gangrene 03 medical and health sciences 0302 clinical medicine Quality of life Surveys and Questionnaires Medicine Humans Survivors Aged Retrospective Studies Leg Rehabilitation business.industry Septic shock PERIPHERAL GANGRENE 030208 emergency & critical care medicine Retrospective cohort study Middle Aged medicine.disease Shock Septic humanities 3. Good health 030228 respiratory system Amputation SAPS II Physical therapy Arm Quality of Life Female business Phantom pain |
| Zdroj: | Journal of Critical Care Journal of Critical Care, WB Saunders, 2019, 53, pp.231-235. ⟨10.1016/j.jcrc.2019.06.027⟩ |
| ISSN: | 0883-9441 |
| DOI: | 10.1016/j.jcrc.2019.06.027⟩ |
| Popis: | Purpose To assess health-related quality of life (HRQOL) following rehabilitation of amputees suffering symmetric peripheral gangrene (SPG) after septic shock. Material and methods A retrospective cohort study was conducted in nine French specialized rehabilitation centers. Thirty-two ICU adult patients hospitalized between 2005 and 2015 for septic shock who additionally presented with SPG resulting in at least two major amputations were enrolled. HRQOL was assessed by EQ-5D-3 L questionnaire. Results All patients (mean ICU length of stay 39 ± 22d, SAPS II 58 ± 18) had both lower limbs amputated and 84% were quadruple amputees. HRQOL, assessed 4.8 ± 2.8 years after amputation, was inferior to the French reference. However, patients' self-rated health status was similar to the reference at the time of HRQOL assessment. The main factor of impaired HRQOL was intense phantom pain, not the mobility or self-care dimensions of EQ-5D. All patients except one preferred to be treated again for SPG despite disability. Conclusion ICU survivors referred to rehabilitation centers after SPG-related amputations had impaired HRQOL. At the time of HRQOL assessment, they considered themselves in good health and preferred to be treated again despite disability. Appraisal of long-term functional outcome should not be used to guide end-of-life decision-making in this situation. |
| Databáze: | OpenAIRE |
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