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Capuzzo, M; Moreno, RP; Jordan, B; Bauer, P; Alvisi, R; Metnitz, PG.
Predictors of early recovery of health status after intensive care.
Intensive Care Med. 2006; 32(11):1832-1838
Doi: 10.1007/s00134-006-0307-2
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PubMed
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- Co-Autor*innen der Med Uni Graz
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Metnitz Philipp
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- Abstract:
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To identify factors predictive of good or poor recovery of health status and health-related quality of life (HRQOL) 90 days after admission to an intensive care unit (ICU).
Prospective international multicentre study in 19 ICUs participating in the HRQOL substudy of the SAPS 3 project.
The EuroQol questionnaire (EQ) was administered to discharged ICU patients 90 days after admission. A question to compare present health status with that 3 months before ICU admission (same/better/worse) was added.
Six hundred and eighteen patients who spent >24h in an ICU and survived for 90 days. EQ data and health comparison were available in 559 (90.5%) of them.
Patients reported their general level of health to be better (33.8%), the same (31.1%), or worse (35.1%) in comparison with baseline. Recovery was considered to be good for answers "better" or "the same". Regression analysis showed that transplantation surgery [odds ratio (OR) 0.07, 95% confidence interval (CI) 0.01-0.63], coronary artery bypass surgery without valvular repair (OR 0.39, 95% CI 0.17-0.92) and being admitted to the ICU from a ward or other location (OR 0.55, 95% CI 0.31-0.95) predicted good recovery of health. Predictors of poor recovery (all present at the time of ICU admission) were unplanned ICU admission, hypothermia, serum creatinine level >or=2mg/dl, pH<or=7.25 and metastatic cancer.
More than 60% of ICU patients report good recovery of their health 90 days after ICU admission, depending on their illness and circumstances of ICU admission.
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Critical Illness -
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Critical Illness -
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Female -
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Health Status -
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Humans -
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Intensive Care Units -
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Logistic Models -
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Male -
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Middle Aged -
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Prognosis -
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Prospective Studies -
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Quality of Life -
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Recovery of Function -
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health status
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quality of life
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intensive care
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critical care
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outcome