Quality of life after cardiac surgery complicated by multiple organ failure
OBJECTIVE To evaluate quality of life after prolonged multiple system intensive care treatment in cardiac surgical patients. DESIGN A case-control study. SETTING Adult 12-bed thoracic intensive care unit (ICU) at a university teaching hospital. PATIENTS Forty-seven patients surviving multiple organ...
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| Veröffentlicht in: | Critical care medicine 1997-01, Vol.25 (1), p.52-57 |
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| creator | Nielsen, Dorthe Sellgren, Johan Ricksten, Sven-Erik |
| description | OBJECTIVE To evaluate quality of life after prolonged multiple system intensive care treatment in cardiac surgical patients.
DESIGN A case-control study.
SETTING Adult 12-bed thoracic intensive care unit (ICU) at a university teaching hospital.
PATIENTS Forty-seven patients surviving multiple organ failure requiring intensive care treatment for >or=to5 days (ICU group). Patients with a completely uncomplicated postoperative course were matched to the study group with respect to gender, age, and type and date of surgery. The Nottingham Health Profile was used to assess quality of life at least 1 yr after complicated cardiac surgery.
INTERVENTIONS Quality of life measures were collected at least 1 yr after discharge from the ICU.
MEASUREMENTS AND MAIN RESULTS Seventy-five percent of the patients in the ICU group suffered from multiple organ failure involving at least three organ systems, with a mean stay in the ICU of 9.0 +/- 1.2 (SEM) days. Quality of life was considerably reduced in the ICU group, with a higher total mean score of all dimensions of quality of life (22.7 +/- 2.6) compared with the control group (13.2 +/- 2.4 [SEM]) (p < .01). The Nottingham Health Profile score was higher in three of six dimensions of health-i.e., energy (p < .05), physical mobility (p < .05), and emotional reactions (p < .05)-compared with the control group. A higher percentage of patients reported problems in three of six important activities of daily life-housework (p < .05), hobbies (p < .01), and sex life (p < .01)-compared with the control group.
CONCLUSION Patients treated with prolonged multiple system intensive care after heart surgery have a poor outcome with respect to quality of life measured at least 1 yr after discharge from the ICU.(Crit Care Med 1997; 25:52-57) |
| doi_str_mv | 10.1097/00003246-199701000-00012 |
| format | Article |
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DESIGN A case-control study.
SETTING Adult 12-bed thoracic intensive care unit (ICU) at a university teaching hospital.
PATIENTS Forty-seven patients surviving multiple organ failure requiring intensive care treatment for >or=to5 days (ICU group). Patients with a completely uncomplicated postoperative course were matched to the study group with respect to gender, age, and type and date of surgery. The Nottingham Health Profile was used to assess quality of life at least 1 yr after complicated cardiac surgery.
INTERVENTIONS Quality of life measures were collected at least 1 yr after discharge from the ICU.
MEASUREMENTS AND MAIN RESULTS Seventy-five percent of the patients in the ICU group suffered from multiple organ failure involving at least three organ systems, with a mean stay in the ICU of 9.0 +/- 1.2 (SEM) days. Quality of life was considerably reduced in the ICU group, with a higher total mean score of all dimensions of quality of life (22.7 +/- 2.6) compared with the control group (13.2 +/- 2.4 [SEM]) (p < .01). The Nottingham Health Profile score was higher in three of six dimensions of health-i.e., energy (p < .05), physical mobility (p < .05), and emotional reactions (p < .05)-compared with the control group. A higher percentage of patients reported problems in three of six important activities of daily life-housework (p < .05), hobbies (p < .01), and sex life (p < .01)-compared with the control group.
CONCLUSION Patients treated with prolonged multiple system intensive care after heart surgery have a poor outcome with respect to quality of life measured at least 1 yr after discharge from the ICU.(Crit Care Med 1997; 25:52-57)]]></description><identifier>ISSN: 0090-3493</identifier><identifier>EISSN: 1530-0293</identifier><identifier>DOI: 10.1097/00003246-199701000-00012</identifier><identifier>PMID: 8989176</identifier><identifier>CODEN: CCMDC7</identifier><language>eng</language><publisher>Hagerstown, MD: Williams & Wilkins</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cardiac Surgical Procedures - mortality ; Case-Control Studies ; Critical Care ; Female ; Health Status ; Humans ; Intensive Care Units ; Length of Stay ; Male ; Medical sciences ; Middle Aged ; Multiple Organ Failure - mortality ; Multiple Organ Failure - therapy ; Postoperative Complications ; Quality of Life ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Sweden</subject><ispartof>Critical care medicine, 1997-01, Vol.25 (1), p.52-57</ispartof><rights>Williams & Wilkins 1997. All Rights Reserved.</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3842-939cafebdf385191d16dd0d6ac4682212080dab44a2da81c72c249c1cde69ce83</citedby><cites>FETCH-LOGICAL-c3842-939cafebdf385191d16dd0d6ac4682212080dab44a2da81c72c249c1cde69ce83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,4026,27930,27931,27932</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2548901$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8989176$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nielsen, Dorthe</creatorcontrib><creatorcontrib>Sellgren, Johan</creatorcontrib><creatorcontrib>Ricksten, Sven-Erik</creatorcontrib><title>Quality of life after cardiac surgery complicated by multiple organ failure</title><title>Critical care medicine</title><addtitle>Crit Care Med</addtitle><description><![CDATA[OBJECTIVE To evaluate quality of life after prolonged multiple system intensive care treatment in cardiac surgical patients.
DESIGN A case-control study.
SETTING Adult 12-bed thoracic intensive care unit (ICU) at a university teaching hospital.
PATIENTS Forty-seven patients surviving multiple organ failure requiring intensive care treatment for >or=to5 days (ICU group). Patients with a completely uncomplicated postoperative course were matched to the study group with respect to gender, age, and type and date of surgery. The Nottingham Health Profile was used to assess quality of life at least 1 yr after complicated cardiac surgery.
INTERVENTIONS Quality of life measures were collected at least 1 yr after discharge from the ICU.
MEASUREMENTS AND MAIN RESULTS Seventy-five percent of the patients in the ICU group suffered from multiple organ failure involving at least three organ systems, with a mean stay in the ICU of 9.0 +/- 1.2 (SEM) days. Quality of life was considerably reduced in the ICU group, with a higher total mean score of all dimensions of quality of life (22.7 +/- 2.6) compared with the control group (13.2 +/- 2.4 [SEM]) (p < .01). The Nottingham Health Profile score was higher in three of six dimensions of health-i.e., energy (p < .05), physical mobility (p < .05), and emotional reactions (p < .05)-compared with the control group. A higher percentage of patients reported problems in three of six important activities of daily life-housework (p < .05), hobbies (p < .01), and sex life (p < .01)-compared with the control group.
CONCLUSION Patients treated with prolonged multiple system intensive care after heart surgery have a poor outcome with respect to quality of life measured at least 1 yr after discharge from the ICU.(Crit Care Med 1997; 25:52-57)]]></description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cardiac Surgical Procedures - mortality</subject><subject>Case-Control Studies</subject><subject>Critical Care</subject><subject>Female</subject><subject>Health Status</subject><subject>Humans</subject><subject>Intensive Care Units</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple Organ Failure - mortality</subject><subject>Multiple Organ Failure - therapy</subject><subject>Postoperative Complications</subject><subject>Quality of Life</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>Sweden</subject><issn>0090-3493</issn><issn>1530-0293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtrGzEQgEVpSRy3P6GgQ-htW728Kx2DyaPEEALtWYylUaJW63WkXYz_fZTa8a2CQQzzzUh8Qwjl7DtnpvvB6pFCtQ03pmO8Zk0NLj6QGV_ImggjP5IZY4Y1Uhl5Ti5K-VMJtejkGTnTRhvetTNy_zhBiuOeDoGmGJBCGDFTB9lHcLRM-Qnznrqh36boYERP13vaT2mM24R0yE-woQFimjJ-Jp8CpIJfjvec_L65_rW8a1YPtz-XV6vGSa1EY6RxEHDtg9QLbrjnrffMt-BUq4XggmnmYa0UCA-au044oYzjzmNrHGo5J98Oc7d5eJmwjLaPxWFKsMFhKrbTnebS8ArqA-jyUErGYLc59pD3ljP75tG-e7Qnj_afx9r69fjGtO7RnxqP4mr98liH4iCFDBsXywkTC6UNe_uBOmC7IVWv5W-adpjtM0Ian-3_tihfAQEnijs</recordid><startdate>199701</startdate><enddate>199701</enddate><creator>Nielsen, Dorthe</creator><creator>Sellgren, Johan</creator><creator>Ricksten, Sven-Erik</creator><general>Williams & Wilkins</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199701</creationdate><title>Quality of life after cardiac surgery complicated by multiple organ failure</title><author>Nielsen, Dorthe ; Sellgren, Johan ; Ricksten, Sven-Erik</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3842-939cafebdf385191d16dd0d6ac4682212080dab44a2da81c72c249c1cde69ce83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cardiac Surgical Procedures - mortality</topic><topic>Case-Control Studies</topic><topic>Critical Care</topic><topic>Female</topic><topic>Health Status</topic><topic>Humans</topic><topic>Intensive Care Units</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multiple Organ Failure - mortality</topic><topic>Multiple Organ Failure - therapy</topic><topic>Postoperative Complications</topic><topic>Quality of Life</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><topic>Sweden</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nielsen, Dorthe</creatorcontrib><creatorcontrib>Sellgren, Johan</creatorcontrib><creatorcontrib>Ricksten, Sven-Erik</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nielsen, Dorthe</au><au>Sellgren, Johan</au><au>Ricksten, Sven-Erik</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of life after cardiac surgery complicated by multiple organ failure</atitle><jtitle>Critical care medicine</jtitle><addtitle>Crit Care Med</addtitle><date>1997-01</date><risdate>1997</risdate><volume>25</volume><issue>1</issue><spage>52</spage><epage>57</epage><pages>52-57</pages><issn>0090-3493</issn><eissn>1530-0293</eissn><coden>CCMDC7</coden><abstract><![CDATA[OBJECTIVE To evaluate quality of life after prolonged multiple system intensive care treatment in cardiac surgical patients.
DESIGN A case-control study.
SETTING Adult 12-bed thoracic intensive care unit (ICU) at a university teaching hospital.
PATIENTS Forty-seven patients surviving multiple organ failure requiring intensive care treatment for >or=to5 days (ICU group). Patients with a completely uncomplicated postoperative course were matched to the study group with respect to gender, age, and type and date of surgery. The Nottingham Health Profile was used to assess quality of life at least 1 yr after complicated cardiac surgery.
INTERVENTIONS Quality of life measures were collected at least 1 yr after discharge from the ICU.
MEASUREMENTS AND MAIN RESULTS Seventy-five percent of the patients in the ICU group suffered from multiple organ failure involving at least three organ systems, with a mean stay in the ICU of 9.0 +/- 1.2 (SEM) days. Quality of life was considerably reduced in the ICU group, with a higher total mean score of all dimensions of quality of life (22.7 +/- 2.6) compared with the control group (13.2 +/- 2.4 [SEM]) (p < .01). The Nottingham Health Profile score was higher in three of six dimensions of health-i.e., energy (p < .05), physical mobility (p < .05), and emotional reactions (p < .05)-compared with the control group. A higher percentage of patients reported problems in three of six important activities of daily life-housework (p < .05), hobbies (p < .01), and sex life (p < .01)-compared with the control group.
CONCLUSION Patients treated with prolonged multiple system intensive care after heart surgery have a poor outcome with respect to quality of life measured at least 1 yr after discharge from the ICU.(Crit Care Med 1997; 25:52-57)]]></abstract><cop>Hagerstown, MD</cop><pub>Williams & Wilkins</pub><pmid>8989176</pmid><doi>10.1097/00003246-199701000-00012</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Cardiac Surgical Procedures - mortality Case-Control Studies Critical Care Female Health Status Humans Intensive Care Units Length of Stay Male Medical sciences Middle Aged Multiple Organ Failure - mortality Multiple Organ Failure - therapy Postoperative Complications Quality of Life Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Sweden |
| title | Quality of life after cardiac surgery complicated by multiple organ failure |
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