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The role of memories on health-related quality of life after intensive care unit care: an unforgettable controversy?: an unforgettable controversy?
Department of Health Information and Decision Sciences, Faculty of Medicine of Porto, Porto, Portugal; CINTESIS - Centre for Research in Health Technologies and Health Systems, Faculty of Medicine of Porto, Porto, Portugal;.
CINTESIS - Centre for Research in Health Technologies and Health Systems, Faculty of Medicine of Porto, Porto, Portugal; Screening and Test Evaluation Program, Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia.
CINTESIS - Centre for Research in Health Technologies and Health Systems, Faculty of Medicine of Porto, Porto, Portugal.
Department of Health Information and Decision Sciences, Faculty of Medicine of Porto, Porto, Portugal; CINTESIS - Centre for Research in Health Technologies and Health Systems, Faculty of Medicine of Porto, Porto, Portugal.
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2016 (English)In: Patient related outcome measures, E-ISSN 1179-271X, Vol. 7, 63-71 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Decreased health-related quality of life (HRQoL) is a significant problem after an intensive care stay and is affected by several known factors such as age, sex, and previous health-state. The objective of this study was to assess the association between memory and self-reported perceived HRQoL of patients discharged from the intensive care unit (ICU).

METHODS: A prospective, multicenter study involving nine general ICUs in Portugal. All adult patients with a length of stay >48 hours were invited to participate in a 6-month follow-up after ICU discharge by answering a set of structured questionnaires, including EuroQol 5-Dimensions and ICU memory tool.

RESULTS: A total of 313 (52% of the eligible) patients agreed to enter the study. The median age of patients was 60 years old, 58% were males, the median Simplified Acute Physiology Score II (SAPS II) was 38, and the median length of stay was 8 days for ICU and 21 days for total hospital stay. Eighty-nine percent (n=276) of the admissions were emergencies. Seventy-eight percent (n=234) of the patients had memories associated with the ICU stay. Patients with no memories had 2.1 higher chances (P=0.011) of being in the bottom half of the HRQoL score (<0.5 Euro-Qol 5-Dimensions index score). Even after adjusting for pre-admission characteristics, having memories was associated with higher perceived HRQoL (adjusted odds ratio =2.1, P=0.022).

CONCLUSION: This study suggests that most of the ICU survivors have memories of their ICU stay. For the ICU survivors, having memories of the ICU stay is associated with a higher perceived HRQoL 6 months after ICU discharge.

Place, publisher, year, edition, pages
Dove Medical Press Ltd , 2016. Vol. 7, 63-71 p.
Keyword [en]
critical care, health-related quality of life, memory disturbances, outcome
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Clinical Medicine
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URN: urn:nbn:se:liu:diva-136980DOI: 10.2147/PROM.S89555PubMedID: 27350762OAI: oai:DiVA.org:liu-136980DiVA: diva2:1092159
Available from: 2017-05-01 Created: 2017-05-01 Last updated: 2017-05-30

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