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    A comparison of outcomes among hospital survivors with and without severe comorbidity admitted to the intensive care unit

    Access Status
    Fulltext not available
    Authors
    Williams, Teresa
    McConigley, Ruth
    Leslie, Gavin
    Dobb, G.
    Phillips, M.
    Davies, Hugh
    Aoun, Samar
    Date
    2015
    Type
    Journal Article
    
    Metadata
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    Citation
    Williams, T. and McConigley, R. and Leslie, G. and Dobb, G. and Phillips, M. and Davies, H. and Aoun, S. 2015. A comparison of outcomes among hospital survivors with and without severe comorbidity admitted to the intensive care unit. Anaesthesia and Intensive Care. 43 (2): pp. 230-237.
    Source Title
    Anaesthesia and Intensive Care
    ISSN
    0310-057X
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/10019
    Collection
    • Curtin Research Publications
    Abstract

    Little is known about the experiences of patients with severe comorbidity discharged from Intensive Care Units (ICUs). This project aimed to determine the effects of an ICU stay for patients with severe comorbidity by comparing 1) quality of life (QOL), 2) the symptom profile of hospital survivors and 3) health service use after hospital discharge for patients admitted to ICU with and without severe comorbidity. A case-control study was used. Patients with severe comorbidity were matched to a contemporaneous cohort of ICU patients by age and severity of illness. Assessment tools were the Medical Outcome Study 36-item short-form and European Organisation for Research and Treatment of Cancer QLQ-C15-PAL questionnaires for QOL and the Symptom Assessment Scale for symptom distress. A proportional odds assumption was performed using an ordinal regression model. The difference in QOL outcome was the dependent variable for each pair. Health service use after discharge from ICU was monitored with patient diaries. Patients aged 18+ years admitted to an ICU in a metropolitan teaching hospital between 2011 and 2012 were included. We recruited 30 cases and 30 controls. QOL improved over the six months after hospital discharge for patients with and without severe comorbidity (P <0.01) within the groups but there was no difference found between the groups (P >0.3). There was no difference in symptoms or health service use between patients with and without severe comorbidity. ICU admission for people with severe comorbidity can be appropriate to stabilise the patient's condition and is likely to be followed by some overall improvement over the six months after hospital discharge.

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