Quality of life and functionality of intensive care survivors: An exploratory review
DOI:
https://doi.org/10.15649/cuidarte.2269Keywords:
Intensive Care, Critical Illness, Quality of Life, Muscle Weakness, Activities of Daily LivingAbstract
Introduction:The quality of life of critically ill patients who survive treatment in intensive care units is lower than that of the general population. Baseline health status and severity of clinical condition on admission to intensive care are risk factors for quality of life and functionality. Objetive: To analyze the level of knowledge on quality of life and functionality of intensive care survivors. Materials and Methods: An exploratory review was conducted by searching studies published between January 2010 and May 2020 in Scielo, PubMed, Science Direct, ProQuest, Redalyc, Dialnet, OVID, and Scopus databases. The study was conducted according to the PRISMA statement. Full texts that met the inclusion criteria were reviewed and analyzed in the final selection of articles. Results: Of 1814 articles identified, 65 articles describing the quality of life and functionality in post-intensive care patients were screened. Finally, 16 were included to analyze the article’s characteristics, population characteristics, and variables of analysis for assessing the quality of life and functionality of post-intensive care survivors. Conclusions: Studies on quality of life and functionality in intensive care survivors were conducted mainly in Europe between 2010 and 2016. They are primarily prospective observational studies correlating factors determining mental and physical health after intensive care discharge. Multiple scales were applied; the most used were the SF-36 and the EQ-5D to assess the quality of life and the Barthel Index to determine functional status in patients discharged from intensive care. The SF- 36 and Barthel index reported impaired quality of life and functionality of the intensive care survivor population.
How to cite this article: Mejia Vanegas Dulfary, Arias Díaz Julia Andrea, Leyton Toro Lleraldyn, Ayala Grajales Katherine Yuliet, Becerra Londoño Angie Manuela, Vallejo Ospina Jorge Iván, Rincón Hurtado Ángela María. Calidad de vida y funcionalidad en sobrevivientes de cuidados intensivos: Una revisión exploratoria. Revista Cuidarte. 2022;13(3):e2269. http://dx.doi.org/10.15649/cuidarte.2269
References
Myhren H, Ekeberg Ø, Stokland O. Health-related quality of life and return to work after critical illness in general intensive care unit patients: A 1-year follow-up study. Crit Care Med. 2010; 38(7):1554-61. https://journals.lww.com/ccmjournal/Abstract/2010/07000/Health_related_quality_of_life_and_return_to_work.8.aspx
Myhren H, Ekeberg Ø, Tøien K, Karlsson S, Stokland O. Posttraumatic stress, anxiety and depression symptoms in patients during the first year post intensive care unit discharge. Crit Care. 2010;14(1): R14. https://pubmed.ncbi.nlm.nih.gov/20144193/
Miranda VL. Aspectos vivenciales del paciente durante su estadía en Unidad de Cuidados Intensivos. Rev Chil Med Inten. 2010; 25(4):5. https://www.imbiomed.com.mx/articulo.php?id=80295#:~:text=Los%20objetivos%20de%20este%20trabajo,la%20incomodidad%2C%20el%20dolor%2C%20la
Orwelius L, Nordlund A, Nordlund P, Simonsson E, Bäckman C, Samuelsson A, et al. Pre-existing disease: the most important factor for health related quality of life long-term after critical illness: a prospective, longitudinal, multicentre trial. Crit Care. 2010;14(2): R67. https://pubmed.ncbi.nlm.nih.gov/20398310/
Somme D, Andrieux N, Guérot E, Lahjibi-Paulet H, Lazarovici C, Gisselbrecht M, et al. Loss of autonomy among elderly patients after a stay in a medical intensive care unit (ICU): A randomized study of the benefit of transfer to a geriatric ward. Arch Gerontol Geriatr. 2010;50(3): e36-40. https://pubmed.ncbi.nlm.nih.gov/19523697/
Iwashyna TJ, Ely EW, Smith DM, Langa KM. Long-term Cognitive Impairment and Functional Disability Among Survivors of Severe Sepsis. JAMA. 2010;304(16):1787–1794. https://jamanetwork.com/journals/jama/fullarticle/186769
Nordon-Craft A, Schenkman M, Ridgeway K, Benson A, Moss M. Physical Therapy Management and Patient Outcomes Following ICU–Acquired Weakness: A Case Series. J Neurol Phys Ther. 2011;35(3):133-40. https://pubmed.ncbi.nlm.nih.gov/21934375/
Flórez-Torres IE, Herrera-Alarcón E, Carpio-Jiménez E, Veccino-Amador MA, Zambrano-Barrios D, Reyes-Narváez Y, et al. Afrontamiento y adaptación en pacientes egresados de unidades de cuidado intensivo. Aquichan. 2011;11(1):23-39. https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/1815
Elliott D, McKinley S, Alison J, Aitken LM, King M, Leslie GD, et al. Health-related quality of life and physical recovery after a critical illness: a multi-centre randomised controlled trial of a home-based physical rehabilitation program. Crit Care. 2011;15(3): R142. https://ccforum.biomedcentral.com/articles/10.1186/cc10265
Sacanella E, Pérez-Castejón JM, Nicolás JM, Masanés F, Navarro M, Castro P, et al. Functional status and quality of life 12 months after discharge from a medical ICU in healthy elderly patients: a prospective observational study. Crit Care. 2011;15(2): R105. https://ccforum.biomedcentral.com/articles/10.1186/cc10121
Dinglas VD, Gellar J, Colantuoni E, Stan VA, Mendez-Tellez PA, Pronovost PJ, et al. Does intensive care unit severity of illness influence recall of baseline physical function?. J Crit Care. 2011; 26(6): 634.e1-634.e7. https://www.sciencedirect.com/science/article/abs/pii/S0883944111002115
Stricker KH, Sailer S, Uehlinger DE, Rothen HU, Zuercher Zenklusen RM, Frick S. Quality of life 9 years after an intensive care unit stay: A long-term outcome study. J Crit Care. 2011; 26(4):379-87. https://www.sciencedirect.com/science/article/abs/pii/S0883944110003321
Mejia Vanegas D, Arias Díaz JA, Rincón Hurtado A. Quality of life and functionality of intensive care survivors: An exploratory review. Mendeley Data V1. 2022. https://doi.org/10.17632/8kvkhywwtk.1
Vest MT, Murphy TE, Araujo KL, Pisani MA. Disability in activities of daily living, depression, and quality of life among older medical ICU survivors: a prospective cohort study. Health Qual Life Outcomes. 2011;9(1):9. https://hqlo.biomedcentral.com/articles/10.1186/1477-7525-9-9
Busico M, Intile D, Irastorza N, Leoz A, Plotnikow G, D’Annunzio P, et al. Calidad de vida y estatus funcional en pacientes que requirieren ventilación mecánica. Seguimiento al año del alta de terapia intensiva. Rev. Am. Med. Respir. 2014; 14(3): 244-251. http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1852-236X2014000300008
Goixart LS, Castelló MB, Ortiz NM, Rodriguez GB, Izquierdo EV, Corselles JV, et al. Factores de riesgo de deterioro de calidad de vida en pacientes traumáticos críticos. Valoración a los 6 y 12 meses del alta de la unidad de cuidados intensivos. Med Intensiva. 2014;38(1):1-10. https://www.sciencedirect.com/science/article/abs/pii/S0210569112003178
Neves AVD, Vasquez DN, Loudet CI, Intile D, Sáenz MG, Marchena C, et al. Symptom burden and health-related quality of life among intensive care unit survivors in Argentina: A prospective cohort study. J Crit Care. 2015; 30(5):1049-54. https://doi.org/10.1016/j.jcrc.2015.05.021
Feemster LC, Cooke CR, Rubenfeld GD, Hough CL, Ehlenbach WJ, Au DH, et al. The Influence of Hospitalization or Intensive Care Unit Admission on Declines in Health-Related Quality of Life. Ann Am Thorac Soc. 2015; 12(1):35-45. https://doi.org/10.1513/AnnalsATS.201404-172OC
Villa P, Pintado M-C, Luján J, González-García N, Trascasa M, Molina R, et al. Functional Status and Quality of Life in Elderly Intensive Care Unit Survivors. J Am Geriatr Soc. 2016; 64(3):536-42. https://doi.org/10.1111/jgs.14031
Berkius J, Engerström L, Orwelius L, Nordlund P, Sjöberg F, Fredrikson M, et al. A prospective longitudinal multicentre study of health related quality of life in ICU survivors with COPD. Crit Care. 2013; 17(5): R211. https://ccforum.biomedcentral.com/articles/10.1186/cc13019
Vesz PS, Cremonese RV, Rosa RG, Maccari JG, Teixeira C. Impact of mechanical ventilation on quality of life and functional status after ICU discharge: A cross-sectional study. Rev Assoc Médica Bras. 2018; 64(1):47-53. https://pubmed.ncbi.nlm.nih.gov/29561942/
Ferrand N, Zaouter C, Chastel B, Faye K, Fleureau C, Roze H, et al. Health related quality of life and predictive factors six months after intensive care unit discharge. Anaesth Crit Care Pain Med. 2019;38(2):137-41. https://pubmed.ncbi.nlm.nih.gov/29864552/
Sidiras G, Patsaki I, Karatzanos E, Dakoutrou M, Kouvarakos A, Mitsiou G, et al. Long term follow-up of quality of life and functional ability in patients with ICU acquired Weakness – A post hoc analysis. J Crit Care. 2019; 53:223-30. https://pubmed.ncbi.nlm.nih.gov/31277049/
Niittyvuopio M, Liisanantti JH, Pikkupeura J, Spalding MB, Sälkiö S, Ala-Kokko TI. Factors associated with impaired physical functioning and mental health in working-age patients attending a post–intensive care follow-up clinic three months after hospital discharge. Anaesth Intensive Care. 2019; 47(2):160-8. https://doi.org/10.1177/0310057X19838910
Beumeler LFE, van Wieren A, Buter H, van Zutphen T, Bruins NA, de Jager CM, et al. Patient-reported physical functioning is limited in almost half of critical illness survivors 1-year after ICU-admission: A retrospective single-centre study. Brakenridge S, editor. PLOS ONE. 2020; 15(12): e0243981. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0243981
Eggmann S, Luder G, Verra ML, Irincheeva I, Bastiaenen CHG, Jakob SM. Functional ability and quality of life in critical illness survivors with intensive care unit acquired weakness: A secondary analysis of a randomised controlled trial. Scherag A, editor. PLOS ONE. 2020; 15(3): e0229725. https://pubmed.ncbi.nlm.nih.gov/32131082/
McKinley S, Aitken LM, Alison JA, King M, Leslie G, Burmeister E, et al. Sleep and other factors associated with mental health and psychological distress after intensive care for critical illness. Intensive Care Med. 2012; 38(4):627-33. https://pubmed.ncbi.nlm.nih.gov/22318635/
Becerra JAB, Moreno CMM, Bernal NEH. Morbimortalidad en pacientes egresados de una unidad de cuidados intensivos en Boyacá, Colombia. Arch Med. 2020;20(2). https://revistasum.umanizales.edu.co/ojs/index.php/archivosmedicina/article/view/3708/6087
Román-Jurado LF, Suárez-Fernández LV, Arias JC. Revisión sistemática sobre calidad de vida relacionada con la salud en gestantes 2008-2019. Hech Microb. 2021; 12(1):18-9. https://revistas.udea.edu.co/index.php/hm/article/view/343841
Cabasés JM. El EQ-5D como medida de resultados en salud. Gac Sanit. noviembre de 2015;29(6):401-3. http://dx.doi.org/10.1016/j.gaceta.2015.08.007
Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol. 1989; 42(8):703-9. https://pubmed.ncbi.nlm.nih.gov/2760661/
Rydingsward JE, Horkan CM, Mogensen KM, Quraishi SA, Amrein K, Christopher KB. Functional Status in ICU Survivors and Out of Hospital Outcomes: A Cohort Study. Crit Care Med. 2016; 44(5):869-79. https://pubmed.ncbi.nlm.nih.gov/26929191/
Schenk P, Warszawska J, Fuhrmann V, König F, Madl C, Ratheiser K. Health-related quality of life of long-term survivors of intensive care: changes after intensive care treatment: Experience of an Austrian intensive care unit. Wien Klin Wochenschr. 2012; 124(17-18):624-32. https://link.springer.com/article/10.1007/s00508-012-0224-z
Mondragón-Barrera MA. Condición física y capacidad funcional en el paciente críticamente enfermo: efectos de las modalidades cinéticas. CES Med. 2013; 27(1):53-66. https://revistas.ces.edu.co/index.php/medicina/article/view/2491
Tripathy S, Mishra JC, Dash SC. Critically ill elderly patients in a developing world—mortality and functional outcome at 1 year: A prospective single-center study. J Crit Care. 2014; 29(3): 474.e7-474.e13. https://doi.org/10.1016/j.jcrc.2014.01.007
Fontela PC, Abdala FANB, Forgiarini SGI, Luiz AF. Quality of life in survivors after a period of hospitalization in the intensive care unit: a systematic review. Rev Bras Ter Intensiva. 2018; 30(4). http://www.gnresearch.org/doi/10.5935/0103-507X.20180071
Shehabi Y, Bellomo R, Reade MC, Bailey M, Bass F, Howe B, et al. Early Intensive Care Sedation Predicts Long-Term Mortality in Ventilated Critically Ill Patients. Am J Respir Crit Care Med. 2012; 186(8):724-31. https://doi.org/10.1164/rccm.201203-0522OC
Detsky ME, Kohn R, Delman AM, Buehler AE, Kent SA, Ciuffetelli IV, et al. Patients’ perceptions and ICU clinicians predictions of quality of life following critical illness. J Crit Care. 2018; 48:352-6. https://pubmed.ncbi.nlm.nih.gov/30296749/
Haines KJ, Berney S, Warrillow S, Denehy L. Long-term recovery following critical illness in an Australian cohort. J Intensive Care. 2018; 6(1):8. https://doi.org/10.1186/s40560-018-0276-x
Busico M, Intile D, Sívori M, Irastorza N, Alvarez AL, Quintana J, et al. Risk factors for worsened quality of life in patients on mechanical ventilation. A prospective multicenter study. Med Intensiva Engl Ed. 2016; 40(7):422-30. https://pubmed.ncbi.nlm.nih.gov/26976118/
Hodgson CL, Haines KJ, Bailey M, Barrett J, Bellomo R, Bucknall T, et al. Predictors of return to work in survivors of critical illness. J Crit Care. 2018; 48:21-5. https://pubmed.ncbi.nlm.nih.gov/30138904/
Ballve LPD, Dargains N, Inchaustegui JGU, Bratos A, Percaz M de los M, Ardariz CB, et al. Weakness acquired in the intensive care unit. Incidence, risk factors and their association with inspiratory weakness. Observational cohort study. Rev Bras Ter Intensiva. 2017; 29(4). https://pubmed.ncbi.nlm.nih.gov/29236843/
Dettling-Ihnenfeldt DS, Wieske L, Horn J, Nollet F, van der Schaaf M. Functional Recovery in Patients With and Without Intensive Care Unit–Acquired Weakness. Am J Phys Med Rehabil. 2017; 96(4):236-42. https://pubmed.ncbi.nlm.nih.gov/28301864/
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