quality of life in patients aged 80 or over after icu discharge生活质量在icu出院后患者年龄在80岁或以上.pdfVIP

Tabah et al. Critical Care 2010, 14:R2 /content/14/1/R2 RESEARCH Open Access Quality of life in patients aged 80 or over after ICU discharge 1 1,2 3,4 1 3 5 Alexis Tabah , Francois Philippart , Jean Francois Timsit , Vincent Willems , Adrien Français , Alain Leplège , 1 1 1,6 1,2* Jean Carlet , Cédric Bruel , Benoit Misset , Maité Garrouste-Orgeas Abstract Introduction: Our objective was to describe self-sufficiency and quality of life one year after intensive care unit (ICU) discharge of patients aged 80 years or over. Methods: We performed a prospective observational study in a medical-surgical ICU in a tertiary non-university hospital. We included patients aged 80 or over at ICU admission in 2005 or 2006 and we recorded age, admission diagnosis, intensity of care, and severity of acute and chronic illnesses, as well as ICU, hospital, and one-year mortality rates. Self-sufficiency (Katz Index of Activities of Daily Living) was assessed at ICU admission and one year after ICU discharge. Quality of life (WHO-QOL OLD and WHO-QOL BREF) was assessed one year after ICU discharge. Results: Of the 115 consecutive patients aged 80 or over (18.2% of admitted patients), 106 were included. Mean age was 84 ± 3 years (range, 80 to 92). Mortality was 40/106 (37%) at ICU discharge, 48/106 (45.2%) at hospital discharge, and 73/106 (68.9%) one year after ICU discharge. In the 23 patients evaluated after one year, self- sufficiency was unchanged compared to the pre-admission status. Quality of life evaluations after one year showed that physical health, sensory abilities, self-sufficiency, and social