title: [Risk factors for the deterioration of quality of life in critical trauma patients. Assessment at 6 and 12 months after discharge from the intensive care unit].
abstract: OBJECTIVE
  To evaluate factors influencing the deterioration of health-related quality of life (HRQoL) in trauma patients admitted to an ICU.
  
  
  METHODS
  A prospective observational study was carried out.
  
  
  METHODS
  The combined medical/surgical ICU in a university secondary hospital with 24-hour neurosurgery service.
  
  
  METHODS
  Trauma patients admitted to the ICU during a two-year period. HRQoL assessment prior to admission to the ICU, and at 6 and 12 months after discharge.
  
  
  METHODS
  Demographic variables, type and severity of injury (AIS), severity (APACHE II, ISS, TRISS), length of stay, procedures, mortality and HRQoL according to the SF-36 and EQ-5D.
  
  
  RESULTS
  We completed the monitoring of 110 patients that showed significant impairment of their HRQoL in all the dimensions assessed. According to the SF-36, physical role was more deteriorated at 12 months, but the mental component decreased more than the physical component after 6 months. The VAS scale of the EQ-5D decreased to 55 at 6 months (19) and increased to 66 at 12 months (17). In the multiple logistic regression analysis, the variables associated with poorer HRQoL were age > 45 years, TRISS > 10, previous porer quality of life, and serious injuries in the extremities.
  
  
  CONCLUSIONS
  Patients showed marked deterioration of their HRQoL at 6 months, followed by overall improvement at 12 months, though without reaching their previous state. The factors that determine poorer quality of life include age, severity, previous HRQoL, and severe injuries in the extremities.
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario Arnau de Vilanova, Lleida, España. Electronic address: lserviag@gmail.com.
authors.forename: L
authors.initials: L
authors.lastname: Serviá Goixart
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario Arnau de Vilanova, Lleida, España.
authors.forename: M
authors.initials: M
authors.lastname: Badia Castelló
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario Arnau de Vilanova, Lleida, España.
authors.forename: N
authors.initials: N
authors.lastname: Montserrat Ortiz
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario Arnau de Vilanova, Lleida, España.
authors.forename: G
authors.initials: G
authors.lastname: Bello Rodriguez
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario Arnau de Vilanova, Lleida, España.
authors.forename: E
authors.initials: E
authors.lastname: Vicario Izquierdo
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario Arnau de Vilanova, Lleida, España.
authors.forename: J
authors.initials: J
authors.lastname: Vilanova Corselles
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario Arnau de Vilanova, Lleida, España; Departamento de Ciencias Médicas Básicas, Universidad de Lleida, IRBLLEIDA, Lleida, España.
authors.forename: J
authors.initials: J
authors.lastname: Trujillano Cabello
mesh_terms: D000328:Adult; D016638:Critical Illness; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D011446:Prospective Studies; D011788:Quality of Life; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D014947:Wounds and Injuries / Q000150:complications
keywords: Calidad de vida relacionada con la salud; Critical care; Cuidados intensivos; EuroQoL 5D; Health-related quality of life; Major trauma; Politraumatizado; Short Form SF-36