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- Title
Mental health-related quality of life is related to delirium in intensive care patients.
- Authors
Hofhuis, José G. M.; Schermer, Tjard; Spronk, Peter E.
- Abstract
<bold>Purpose: </bold>Delirium during intensive care unit (ICU) stay may be related to premorbid mental illness. In addition, delirium during ICU stay may also negatively affect long-term health-related quality of life. The aim of our study was to investigate if delirium in the ICU is related to premorbid mental quality of life and affects long-term mental quality of life after ICU stay.<bold>Methods: </bold>We performed a prospective cohort study in 1021 patients admitted for longer than 48 h in a medical-surgical ICU. We evaluated mental and physical quality of life using the Short-form-12 before ICU admission, at hospital discharge, and 3, 6 and 12 months after hospital discharge. Mixed model and logistic regression models were used to analyze the data.<bold>Results: </bold>Patients who experienced a delirium during ICU stay reported a worse pre-admission mental quality of life than those without delirium (p < 0.001). Furthermore, patients who suffered from delirium during their ICU stay exhibited a significant decrease in mental quality of life over time relative to patients without delirium (p = 0.035).<bold>Conclusion: </bold>In this large follow-up study, we demonstrated that ICU survivors who experienced a delirium during ICU stay reported a significantly worse pre-admission mental health-related quality of life and a significant decrease in mental health-related quality of life in the year after hospital discharge compared with patients without delirium.
- Subjects
INTENSIVE care patients; QUALITY of life; DELIRIUM; INTENSIVE care units; HOSPITAL admission &; discharge; CRITICAL care medicine; LONGITUDINAL method
- Publication
Intensive Care Medicine, 2022, Vol 48, Issue 9, p1197
- ISSN
0342-4642
- Publication type
journal article
- DOI
10.1007/s00134-022-06841-8