Quality of life in patients aged 80 or over after ICU discharge

Tabah, Alexis, Philippart, Francois, Timsit, Jean Francois, Willems, Vincent, Francais, Adrien, Leplege, Alain, Carlet, Jean, Bruel, Cedric, Misset, Benoit and Garrouste-Orgeas, Maite (2010) Quality of life in patients aged 80 or over after ICU discharge. Critical Care, 14 . doi:10.1186/cc8231

Author Tabah, Alexis
Philippart, Francois
Timsit, Jean Francois
Willems, Vincent
Francais, Adrien
Leplege, Alain
Carlet, Jean
Bruel, Cedric
Misset, Benoit
Garrouste-Orgeas, Maite
Title Quality of life in patients aged 80 or over after ICU discharge
Journal name Critical Care   Check publisher's open access policy
ISSN 1364-8535
Publication date 2010-01-08
Sub-type Article (original research)
DOI 10.1186/cc8231
Open Access Status DOI
Volume 14
Total pages 7
Place of publication Philadelphia, PA, United States
Publisher Current Science
Language eng
Formatted 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 participation had slightly worse ratings than the other domains, whereas social relationships, environment, and fear of death and dying had the best ratings. Compared to an age- and sex-matched sample of the general population, our cohort had better ratings for psychological health, social relationships, and environment, less fear of death and dying, better expectations about past, present, and future activities and better intimacy (friendship and love).

Conclusions: Among patients aged 80 or over who were selected at ICU admission, 80% were self-sufficient for activities of daily living one year after ICU discharge, 31% were alive, with no change in self-sufficiency and with similar quality of life to that of the general population matched on age and sex. However, these results must be interpreted cautiously due to the small sample of survivors.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 40 times in Thomson Reuters Web of Science Article | Citations
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