OBJECTIVE: To evaluate outcomes of patients admitted to the ICU for complications after elective surgery and to assess perceived quality of life (pQOL) in survivors. DESIGN: Two-year prospective case-control study. SETTING: Twelve-bed ICU in a university-affiliated hospital. PATIENTS: Patients admitted to the ICU for a complication following elective surgery were included. Six months after discharge, pQOL was assessed using the Nottingham Health Profile (NHP). Results were compared to those of matched controls without complications. INTERVENTIONS: None. MEASUREMENTS AND RESULTS: Of the 182 patients, 124 were alive after 6 months, among whom 116 had 6-month data and 104 of these had matched controls. Overall pQOL as assessed by the global NHP score was similar in both groups (median, 0.82 and 0.87 in cases and controls; P=0.24). NHP subscores showed significantly worse pain ( P=0.03) and physical impairment ( P=0.02) in the ICU patients. In the multivariate analysis, pQOL was better in patients with cancer as the reason for surgery ( P=0.05). Severity of illness at inclusion had no influence on subsequent pQOL, but cardiovascular dysfunction was associated with decreased energy ( P=0.04). CONCLUSIONS: Although overall pQOL was satisfactory after 6 months, patients admitted to the ICU for postoperative complications had worse pain and physical impairment than controls. Whether these outcomes could be improved by early physiotherapy and aggressive pain management deserves investigation.
OBJECTIVE: To evaluate outcomes of patients admitted to the ICU for complications after elective surgery and to assess perceived quality of life (pQOL) in survivors. DESIGN: Two-year prospective case-control study. SETTING: Twelve-bed ICU in a university-affiliated hospital. PATIENTS: Patients admitted to the ICU for a complication following elective surgery were included. Six months after discharge, pQOL was assessed using the Nottingham Health Profile (NHP). Results were compared to those of matched controls without complications. INTERVENTIONS: None. MEASUREMENTS AND RESULTS: Of the 182 patients, 124 were alive after 6 months, among whom 116 had 6-month data and 104 of these had matched controls. Overall pQOL as assessed by the global NHP score was similar in both groups (median, 0.82 and 0.87 in cases and controls; P=0.24). NHP subscores showed significantly worse pain ( P=0.03) and physical impairment ( P=0.02) in the ICU patients. In the multivariate analysis, pQOL was better in patients with cancer as the reason for surgery ( P=0.05). Severity of illness at inclusion had no influence on subsequent pQOL, but cardiovascular dysfunction was associated with decreased energy ( P=0.04). CONCLUSIONS: Although overall pQOL was satisfactory after 6 months, patients admitted to the ICU for postoperative complications had worse pain and physical impairment than controls. Whether these outcomes could be improved by early physiotherapy and aggressive pain management deserves investigation.
Authors: G Vazquez Mata; R Rivera Fernandez; A Perez Aragon; A Gonzalez Carmona; E Fernandez Mondejar; P Navarrete Navarro Journal: J Trauma Date: 1996-08
Authors: G Vazquez Mata; R Rivera Fernandez; A Gonzalez Carmona; M Delgado-Rodriguez; J M Torres Ruiz; A Raya Pugnaire; E Aguayo de Hoyos Journal: Crit Care Med Date: 1992-09 Impact factor: 7.598
Authors: Peter Andrews; Elie Azoulay; Massimo Antonelli; Laurent Brochard; Christian Brun-Buisson; Geoffrey Dobb; Jean-Yves Fagon; Herwig Gerlach; Johan Groeneveld; Jordi Mancebo; Philipp Metnitz; Stefano Nava; Jerome Pugin; Michael Pinsky; Peter Radermacher; Christian Richard; Robert Tasker; Benoit Vallet Journal: Intensive Care Med Date: 2005-02-18 Impact factor: 17.440
Authors: John Griffiths; Melanie Gager; Nicola Alder; Derek Fawcett; Carl Waldmann; Jane Quinlan Journal: Intensive Care Med Date: 2006-02-16 Impact factor: 17.440
Authors: Tarja Vainiola; Ville Pettilä; Risto P Roine; Pirjo Räsänen; Anne M Rissanen; Harri Sintonen Journal: Intensive Care Med Date: 2010-08-06 Impact factor: 17.440