Hélène Vallet1, Laura Moïsi2, Caroline Thomas2, Bertrand Guidet3, Ariane Boumendil4. 1. Department of Geriatrics, Saint Antoine Hospital, Assistance Publique Hôpitaux de Paris (APHP), Paris, France; Sorbonne Université, Faculté de médecine, Paris, France; Institut National de la Santé et de la Recherche Médicale (INSERM), UMRS 1135, Centre d'immunologie et de Maladies Infectieuses (CIMI), Paris, France. Electronic address: helene.vallet@inserm.fr. 2. Department of Geriatrics, Saint Antoine Hospital, Assistance Publique Hôpitaux de Paris (APHP), Paris, France. 3. Department of Critical Care, Saint Antoine Hospital, Assistance Publique Hôpitaux de Paris (APHP), Paris, France; Sorbonne Université, Faculté de médecine, Paris, France; Institut National de la Santé et de la Recherche Médicale (INSERM), UMRS 1136, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Paris, France. 4. Department of Critical Care, Saint Antoine Hospital, Assistance Publique Hôpitaux de Paris (APHP), Paris, France.
Abstract
PURPOSE: Acute critical illness induce a high caregivers burden in the young population, however data in the older population are lacking. The objectives of this study were to evaluate caregiver burden in a critically ill old population and to assess factors associated with mild to severe burden level. MATERIALS AND METHODS: All patients from two participating centers of the ICE-CUB 2 trial were included in the study. Inclusion criteria were an age ≥75, at least one critical condition and preserved functional status. The primary endpoint was a Zarit Burden Interview (ZBI) ≥ 21 at 6 months. RESULTS: One hundred ninety-one patients (median age 86 [81-89] years) were included. Median caregiver ZBI at 6 months was 13 [5-27]. In the multivariate analysis, factors significantly associated with moderate to severe burden were the 6-month ADL decrease (OR: 1.3, p = .049) and the 6-month mental component of the quality of life score (OR: 0.94, p = .0009). In contrast, age, ICU admission and length of hospital stay were not associated with moderate to severe load. CONCLUSION: In our study, functional status and mental health at 6 months were associated with mild to severe burden unlike age and admission in ICU.
PURPOSE: Acute critical illness induce a high caregivers burden in the young population, however data in the older population are lacking. The objectives of this study were to evaluate caregiver burden in a critically ill old population and to assess factors associated with mild to severe burden level. MATERIALS AND METHODS: All patients from two participating centers of the ICE-CUB 2 trial were included in the study. Inclusion criteria were an age ≥75, at least one critical condition and preserved functional status. The primary endpoint was a Zarit Burden Interview (ZBI) ≥ 21 at 6 months. RESULTS: One hundred ninety-one patients (median age 86 [81-89] years) were included. Median caregiver ZBI at 6 months was 13 [5-27]. In the multivariate analysis, factors significantly associated with moderate to severe burden were the 6-month ADL decrease (OR: 1.3, p = .049) and the 6-month mental component of the quality of life score (OR: 0.94, p = .0009). In contrast, age, ICU admission and length of hospital stay were not associated with moderate to severe load. CONCLUSION: In our study, functional status and mental health at 6 months were associated with mild to severe burden unlike age and admission in ICU.