title: Changes in health-related quality of life in older patients one year after an intensive care unit stay.
abstract: OBJECTIVE
  This study investigates health-related quality of life in older patients, over one year following an intensive care unit stay.
  
  
  BACKGROUND
  Health-related quality of life is an important outcome when assessing long-term effectiveness of intensive care treatment, and to assist patients, their relatives and healthcare professionals in making treatment decisions.
  
  
  METHODS
  Prospective non-randomised longitudinal study.
  
  
  METHODS
  The Short Form Health Survey 36 was administered 1 week after an intensive care stay (retrospective baseline), and after six months and 12 months to the study population and to an age-matched comparison group at recruitment (baseline), and after six months and 12 months. Demographic data, admission diagnosis, length of stay, severity of illness, pain, anxiety, agitation, and intratracheal suctioning, turning and intubation were recorded. Recruitment period: December 2008 to April 2011.
  
  
  RESULTS
  Health-related quality of life of the older patients was significantly lower than the comparison group, both before and after the intensive care unit stay, and showed great individual variability. Within group scores, however, were stable over the year. Both physical and mental health scores were lower for the older patients. Renal failure, cardiac surgery and illness severity were associated with lower physical health scores. Cardiovascular illness, intratracheal suctioning and turning were associated with lower mental health scores.
  
  
  CONCLUSIONS
  Health-related quality of life was lower in older patients than in the age-matched group but remained stable over one year.
  
  
  CONCLUSIONS
  Older patients with severe illnesses, acute renal failure or who have had cardiac surgery, need additional support after hospital discharge due to functional restrictions. Discharge planning should ensure that this support would be provided. Special attention should be given to develop and use methods to reduce distress during routine intensive care interventions such as intratracheal suctioning or turning.
authors.affiliation: Department of Intensive Care Medicine, University Hospital (Inselspital), Bern, Switzerland.|Department of Health Services Research, School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
authors.forename: Marie-Madlen
authors.initials: MM
authors.lastname: Jeitziner
authors.affiliation: Department of Health Services Research, School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
authors.forename: Sandra Mg
authors.initials: SM
authors.lastname: Zwakhalen
authors.affiliation: National Centre of Competence in Research, University of Geneva, Geneva, Switzerland.
authors.forename: Reto
authors.initials: R
authors.lastname: Bürgin
authors.affiliation: Institute of Applied Nursing Science, University of Applied Sciences, St. Gallen, Switzerland.
authors.forename: Virpi
authors.initials: V
authors.lastname: Hantikainen
authors.affiliation: Department of Health Services Research, School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
authors.forename: Jan Ph
authors.initials: JP
authors.lastname: Hamers
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003422:Critical Care; D005260:Female; D006304:Health Status; D006760:Hospitalization; D006801:Humans; D007362:Intensive Care Units; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life
keywords: ICU Interventions; critical care; long-term outcomes; nursing; older patients; quality of life