title: Functional Status and Quality of Life in Elderly Intensive Care Unit Survivors.
abstract: OBJECTIVE
  To evaluate functional status and quality of life in elderly intensive care unit (ICU) survivors at 1-year follow-up.
  
  
  METHODS
  Prospective 18-month observational study.
  
  
  METHODS
  University medical-surgical ICU.
  
  
  METHODS
  ICU survivors aged 75 and older.
  
  
  METHODS
  Functional status at baseline (Barthel Index (BI)) was compared with that at hospital discharge and 1-year follow-up. Health-related quality of life (HRQL Spanish version of the Medical Outcomes Study 36-item Short-From Survey) was measured at 1-year follow-up and compared with that of the Spanish population of same age.
  
  
  RESULTS
  Of 176 individuals admitted to the ICU, 110 (62.1%) were discharged alive from the hospital, and 94 (53.1%) were alive at 1-year follow-up. ICU admission was associated with significant clinical deterioration (median BI 100 points (interquartile range (IQR) 85-100) at baseline vs 85 (IQR 60-100) at hospital discharge, P < .001). Three months after discharge, there was a significant although modest improvement in functional status (BI 95 (IQR 80-100) P = .03). Baseline functional status was not recovered at 1-year follow-up (BI 95 (IQR 80-100) P < .001). More ICU survivors had moderate to severe dependence at the end of follow-up (20.3%) than at ICU admission (6.6%) (P < .001). Factors independently associated with poor functional recovery were low baseline BI and ICU stay longer than 4 days. At 1-year follow-up, 76.8% of participants who survived were living in their own homes. HRQL was similar to that of the Spanish population of the same age.
  
  
  CONCLUSIONS
  Elderly ICU survivors experienced significant deterioration in functional status, and although they recovered modestly during the following year, they never regained their baseline status. Good recovery was associated with short ICU stay and better baseline functional status.
authors.affiliation: Intensive Care Unit, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain.
authors.forename: Patricia
authors.initials: P
authors.lastname: Villa
authors.affiliation: Intensive Care Unit, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain.
authors.forename: María-Consuelo
authors.initials: MC
authors.lastname: Pintado
authors.affiliation: Intensive Care Unit, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain.
authors.forename: Jimena
authors.initials: J
authors.lastname: Luján
authors.affiliation: Palliative Care Unit, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain.
authors.forename: Natalia
authors.initials: N
authors.lastname: González-García
authors.affiliation: Intensive Care Unit, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain.
authors.forename: María
authors.initials: M
authors.lastname: Trascasa
authors.affiliation: Intensive Care Unit, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain.
authors.forename: Rocío
authors.initials: R
authors.lastname: Molina
authors.affiliation: Section of Intensive Care Medicine, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain.
authors.forename: José-Andrés
authors.initials: JA
authors.lastname: Cambronero
authors.affiliation: Intensive Care Unit, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain.|Department of Medicine, University of Alcalá, Alcalá de Henares, Madrid, Spain.
authors.forename: Raúl
authors.initials: R
authors.lastname: de Pablo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003422:Critical Care / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D008297:Male; D017063:Outcome Assessment, Health Care; D010351:Patient Discharge / Q000706:statistics & numerical data; D011446:Prospective Studies; D011788:Quality of Life; D020127:Recovery of Function; D013030:Spain; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data; D013997:Time Factors
keywords: activities of daily living; aged; critical care; outcome assessment; quality of life