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The role of memories on health-related quality of life after intensive care unit care: an unforgettable controversy?

dc.contributor.authorOrwelius, Lotti
dc.contributor.authorTeixeira-Pinto, Armando
dc.contributor.authorLobo, Cristina
dc.contributor.authorCosta-Pereira, Altamiro
dc.contributor.authorGranja, Cristina
dc.date.accessioned2017-04-07T15:57:30Z
dc.date.available2017-04-07T15:57:30Z
dc.date.issued2016
dc.description.abstractBackground: 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 EuroQol 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.
dc.identifier.doi10.2147/PROM.S89555
dc.identifier.issn1179-271X
dc.identifier.otherAUT: MCS02894;
dc.identifier.urihttp://hdl.handle.net/10400.1/9728
dc.language.isoeng
dc.peerreviewedyes
dc.relationThe PIRO Sepsis concept - implementation and validation of a new classification in Sepsis
dc.relation.isbasedonWOS:000382878100002
dc.titleThe role of memories on health-related quality of life after intensive care unit care: an unforgettable controversy?
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleThe PIRO Sepsis concept - implementation and validation of a new classification in Sepsis
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/5876-PPCDTI/PIC%2FIC%2F83312%2F2007/PT
oaire.citation.endPage71
oaire.citation.startPage63
oaire.citation.titlePatient Related Outcome Measures
oaire.citation.volume7
oaire.fundingStream5876-PPCDTI
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccess
rcaap.typearticle
relation.isProjectOfPublication34178dbd-ee52-4a72-904f-029d0758ea0a
relation.isProjectOfPublication.latestForDiscovery34178dbd-ee52-4a72-904f-029d0758ea0a

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