Contrin Ligia Marcia, Paschoal Vania Del'Arco, Beccaria Lucia Marinilza, Cesarino Claudia Bernardi, Lobo Suzana Margareth Ajeje
Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil.
Rev Lat Am Enfermagem. 2013 May-Jun;21(3):795-802. doi: 10.1590/S0104-11692013000300020.
to evaluate the quality of life in severe sepsis survivors, using specific QoL questionnaires: the EuroQol-5 Dimensions and the Visual Analogue Scale (EQ-VAS).
This case-control study was performed in patients discharged from a teaching hospital after being admitted to the ICU with severe sepsis. Medical records from 349 patients were retrieved from the hospital sepsis registry. Each patient with sepsis was considered as a case. Patients who were admitted immediately after the sepsis episode were considered as controls, provided that they did not have sepsis and survived the ICU admission. This specific study population included 100 patients.
The sepsis group showed higher mortality at 1 year compared with critically ill patients. However, the control group showed no sepsis. Older patients (>60 years) in the sepsis group had a significantly higher prevalence of problems. There were no differences in EQ-VAS between respondents from both groups.
After discharge from ICU, sepsis survivors of sepsis had a higher mortality rate than critically ill patients without sepsis. Older patients with sepsis had more moderate and severe problems in all five quality of life dimensions evaluated.
使用特定的生活质量问卷（欧洲五维度健康量表和视觉模拟量表（EQ-VAS））评估严重脓毒症幸存者的生活质量。
本病例对照研究在一所教学医院的重症监护病房（ICU）收治的严重脓毒症患者出院后进行。从医院脓毒症登记处检索了349例患者的病历。每例脓毒症患者被视为病例。脓毒症发作后立即入院且未患脓毒症并在ICU住院期间存活的患者被视为对照。该特定研究人群包括100例患者。
与危重症患者相比，脓毒症组1年时死亡率更高。然而，对照组未发生脓毒症。脓毒症组中年龄较大（>60岁）的患者问题发生率显著更高。两组受访者的EQ-VAS无差异。
从ICU出院后，脓毒症幸存者的死亡率高于未患脓毒症的危重症患者。脓毒症老年患者在所有五个评估的生活质量维度上存在更多中度和重度问题。
