Quality of life in long-term survivors of intensive care
Publication in refereed journal


香港中文大学研究人员 ( 现职)

Professor Charles David GOMERSALL (麻醉及深切治疗学系)

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摘要Introduction Traditionally, outcome from intensive care has focused on mortality. The cost of intensive care and the limited resources devoted to patients who have a poor prognosis also raises questions about the utilisation of such resources. There is in creasing pressure for outcome evaluation of intensive care to incorporate assessment of long-term survival and the quality of life in survivors. The principal objectives of this article were to examine current methods of assessing quality of life measures in critically ill patients surviving intensive care and to determine the quality of life of these survivors. Methods: Direct and computerised search of published research articles. Results: Measurement of quality of life after intensive care is not common practice. There is a lack of consensus concerning appropriate measuring instruments to be used and how best to interpret results. Despite the availability of general outcome tools and disease specific instruments, there is a paucity of studies in the literature which include assessments of quality of life following intensive care unit (ICU) care. Generic health indices suggest that the quality of life in ICU survivors is acceptable though in certain sub-groups, e.g. adult respiratory distress syndrome and sepsis, quality of life may be moderately impaired. ICU survivors appear to suffer less disability than chronic physical disease patients. Conclusions: Assessment of outcome after intensive care should include health related quality of life measurements. A unifying framework is required to enhance communication between clinicians, administrators and investigators of quality of life research and also to enable more rational and effective decision making at the bedside. Patients who survive intensive care appear to enjoy a reasonable standard of quality of life. While their health status may not be as good, subjectively patients find this acceptable.

着者Buckley TA, Cheng AYC, Gomersall CD
期刊名称ANNALS ACADEMY OF MEDICINE SINGAPORE
出版年份2001
月份5
日期1
卷号http://aims.cuhk.edu.hk/converis/portal/Publication/30
期次http://aims.cuhk.edu.hk/converis/portal/Publication/3
出版社ACAD MEDICINE SINGAPORE
页次287 - 292
国际标準期刊号0http://aims.cuhk.edu.hk/converis/portal/Publication/304-4602
语言英式英语

关键词intensive care unit; mortality; outcome; prognosis; sickness impact profile
Web of Science 学科类别General & Internal Medicine; Medicine, General & Internal; MEDICINE, GENERAL & INTERNAL