Quality of life before and after intensive care

Brian Cuthbertson, J. Scott, M. Strachan, Mary Mueni Kilonzo, Luke David Vale

Research output: Contribution to journalArticle

121 Citations (Scopus)

Abstract

Quality of life is often thought to be poor before and after intensive care unit admission. The aim of this study was to investigate changes in quality of life before and after intensive care. A prospective cohort study of 300 consecutive patients admitted to intensive care was performed in a Scottish Teaching Hospital. Quality of life was assessed premorbidly and 3, 6 and 12 months after intensive care admission for surviving patients using SF-36 as well as EQ-5D scores at 12 months. The median value for age was 60.5 years and for APACHE II score, 18. The mean length of stay was 6.7 days. SF-36 physical component scores decreased from premorbid values at 3 months (p = 0.05) and then returned to premorbid values at 12 months (p < 0.001). The mean physical scores were below the population norm at all time points but the mean mental scores were similar or higher than these population norms. Patients who died after intensive care discharge had lower quality of life scores than did survivors (all p < 0.01). Poor premorbid quality of life was demonstrated and appears to reduce after ICU discharge. For survivors there was a slow increase in physical quality of life to premorbid levels by the end of the first year but these remained lower than in the general population. ICU patients experience a considerable longer-term burden of ill health.

Original languageEnglish
Pages (from-to)332-339
Number of pages7
JournalAnaesthesia
Volume60
Issue number4
DOIs
Publication statusPublished - 2005

Keywords

  • PROLONGED MECHANICAL VENTILATION
  • POSTTRAUMATIC-STRESS-DISORDER
  • CRITICALLY-ILL
  • ELDERLY-PATIENTS
  • TERM MORTALITY
  • HEALTH-STATUS
  • UNIT
  • RELIABILITY
  • SURVIVAL
  • STAY

Cite this

Cuthbertson, B., Scott, J., Strachan, M., Kilonzo, M. M., & Vale, L. D. (2005). Quality of life before and after intensive care. Anaesthesia, 60(4), 332-339. https://doi.org/10.1111/j.1365-2044.2004.04109.x

Quality of life before and after intensive care. / Cuthbertson, Brian; Scott, J.; Strachan, M.; Kilonzo, Mary Mueni; Vale, Luke David.

In: Anaesthesia, Vol. 60, No. 4, 2005, p. 332-339.

Research output: Contribution to journalArticle

Cuthbertson, B, Scott, J, Strachan, M, Kilonzo, MM & Vale, LD 2005, 'Quality of life before and after intensive care', Anaesthesia, vol. 60, no. 4, pp. 332-339. https://doi.org/10.1111/j.1365-2044.2004.04109.x
Cuthbertson, Brian ; Scott, J. ; Strachan, M. ; Kilonzo, Mary Mueni ; Vale, Luke David. / Quality of life before and after intensive care. In: Anaesthesia. 2005 ; Vol. 60, No. 4. pp. 332-339.
@article{bffa9bda9a3544bf92d65a5359a2ab8d,
title = "Quality of life before and after intensive care",
abstract = "Quality of life is often thought to be poor before and after intensive care unit admission. The aim of this study was to investigate changes in quality of life before and after intensive care. A prospective cohort study of 300 consecutive patients admitted to intensive care was performed in a Scottish Teaching Hospital. Quality of life was assessed premorbidly and 3, 6 and 12 months after intensive care admission for surviving patients using SF-36 as well as EQ-5D scores at 12 months. The median value for age was 60.5 years and for APACHE II score, 18. The mean length of stay was 6.7 days. SF-36 physical component scores decreased from premorbid values at 3 months (p = 0.05) and then returned to premorbid values at 12 months (p < 0.001). The mean physical scores were below the population norm at all time points but the mean mental scores were similar or higher than these population norms. Patients who died after intensive care discharge had lower quality of life scores than did survivors (all p < 0.01). Poor premorbid quality of life was demonstrated and appears to reduce after ICU discharge. For survivors there was a slow increase in physical quality of life to premorbid levels by the end of the first year but these remained lower than in the general population. ICU patients experience a considerable longer-term burden of ill health.",
keywords = "PROLONGED MECHANICAL VENTILATION, POSTTRAUMATIC-STRESS-DISORDER, CRITICALLY-ILL, ELDERLY-PATIENTS, TERM MORTALITY, HEALTH-STATUS, UNIT, RELIABILITY, SURVIVAL, STAY",
author = "Brian Cuthbertson and J. Scott and M. Strachan and Kilonzo, {Mary Mueni} and Vale, {Luke David}",
year = "2005",
doi = "10.1111/j.1365-2044.2004.04109.x",
language = "English",
volume = "60",
pages = "332--339",
journal = "Anaesthesia",
issn = "0003-2409",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Quality of life before and after intensive care

AU - Cuthbertson, Brian

AU - Scott, J.

AU - Strachan, M.

AU - Kilonzo, Mary Mueni

AU - Vale, Luke David

PY - 2005

Y1 - 2005

N2 - Quality of life is often thought to be poor before and after intensive care unit admission. The aim of this study was to investigate changes in quality of life before and after intensive care. A prospective cohort study of 300 consecutive patients admitted to intensive care was performed in a Scottish Teaching Hospital. Quality of life was assessed premorbidly and 3, 6 and 12 months after intensive care admission for surviving patients using SF-36 as well as EQ-5D scores at 12 months. The median value for age was 60.5 years and for APACHE II score, 18. The mean length of stay was 6.7 days. SF-36 physical component scores decreased from premorbid values at 3 months (p = 0.05) and then returned to premorbid values at 12 months (p < 0.001). The mean physical scores were below the population norm at all time points but the mean mental scores were similar or higher than these population norms. Patients who died after intensive care discharge had lower quality of life scores than did survivors (all p < 0.01). Poor premorbid quality of life was demonstrated and appears to reduce after ICU discharge. For survivors there was a slow increase in physical quality of life to premorbid levels by the end of the first year but these remained lower than in the general population. ICU patients experience a considerable longer-term burden of ill health.

AB - Quality of life is often thought to be poor before and after intensive care unit admission. The aim of this study was to investigate changes in quality of life before and after intensive care. A prospective cohort study of 300 consecutive patients admitted to intensive care was performed in a Scottish Teaching Hospital. Quality of life was assessed premorbidly and 3, 6 and 12 months after intensive care admission for surviving patients using SF-36 as well as EQ-5D scores at 12 months. The median value for age was 60.5 years and for APACHE II score, 18. The mean length of stay was 6.7 days. SF-36 physical component scores decreased from premorbid values at 3 months (p = 0.05) and then returned to premorbid values at 12 months (p < 0.001). The mean physical scores were below the population norm at all time points but the mean mental scores were similar or higher than these population norms. Patients who died after intensive care discharge had lower quality of life scores than did survivors (all p < 0.01). Poor premorbid quality of life was demonstrated and appears to reduce after ICU discharge. For survivors there was a slow increase in physical quality of life to premorbid levels by the end of the first year but these remained lower than in the general population. ICU patients experience a considerable longer-term burden of ill health.

KW - PROLONGED MECHANICAL VENTILATION

KW - POSTTRAUMATIC-STRESS-DISORDER

KW - CRITICALLY-ILL

KW - ELDERLY-PATIENTS

KW - TERM MORTALITY

KW - HEALTH-STATUS

KW - UNIT

KW - RELIABILITY

KW - SURVIVAL

KW - STAY

U2 - 10.1111/j.1365-2044.2004.04109.x

DO - 10.1111/j.1365-2044.2004.04109.x

M3 - Article

VL - 60

SP - 332

EP - 339

JO - Anaesthesia

JF - Anaesthesia

SN - 0003-2409

IS - 4

ER -