Quality of Life of Adult Survivors After Extra Corporeal Membrane Oxygenation (ECMO): A Quantitative Study.
作者信息
Galazzi Alessandro, Brambilla Alessandra, Grasselli Giacomo, Pesenti Antonio, Fumagalli Roberto, Lucchini Alberto
机构信息
Alessandro Galazzi, RN, CCRN, is a staff nurse in the general intensive care unit of the Dipartimento di Anestesia, Rianimazione ed Emergenza Urgenza, Area Terapie Intensive, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico in Milan, Italy. Alessandra Brambilla, RN, CCRN, is a staff nurse Dipartimento di Anestesia, Rianimazione ed Emergenza Urgenza, Area Terapie Intensive, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy. Giacomo Grasselli, MD, is an associate professor in the Dipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Universit´ degli Studi di Milano and the head of intensive care unit of the Dipartimento di Anestesia, Rianimazione ed Emergenza Urgenza, Area Terapie Intensive, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico in Milan, Italy. Antonio Pesenti, MD, is a professor in Dipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Universit´ degli Studi di Milano and the director of Dipartimento di Anestesia, Rianimazione ed Emergenza Urgenza, Area Terapie Intensive, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico in Milan, Italy. Roberto Fumagalli, MD, is a professor in the University of Milan-Bicocca located in Milan, Italy. He is also the director of the Department of Anesthesia and Intensive Care Medicine, Niguarda Ca' Granda Hospital also located in Milan, Italy. Alberto Lucchini, RN, is the head nurse in the general intensive care unit, ASST Monza -Ospedale S. Gerardo. He is also the coordinator of the master in intensive care at the University of Milan-Bicocca located in Milan, Italy.
出版信息
Dimens Crit Care Nurs. 2018 Jan/Feb;37(1):12-17. doi: 10.1097/DCC.0000000000000278.
INTRODUCTION
Extracorporeal Membrane Oxygenation (ECMO) is a technique used in the treatment of patients with severe respiratory failure. A lot of studies in the literature investigated the survival rate of patients treated with ECMO, but few are those that assess the long-term outcomes and the quality of life (QoL) of survivors.
MATERIALS AND METHODS
A retrospective observational study with prospective QoL assessment through administration of the questionnaire EuroQol-5 Dimension was conducted in acute respiratory distress syndrome patients who h ad ECMO as a rescue therapy for reversible refractory hypoxemia from January 2013 until December 2015 in an Italian referral ECMO center.
RESULTS
Forty patients were enrolled, but the telephone interview was possible only in 17. The interviewed patients presented a reduction in QoL in the items concerning pain (59%), followed by problems regarding mobility (47%) and anxiety (47%). The patients' perceived QoL, showed in a 0 to100 scale (0 being the worst, 100 being the best value), is of 75% (interquartile range, 70-80).
DISCUSSION
The problems found are in agreement with the literature about this particular type of patients.
CONCLUSION
Most ECMO patients have good physical and social functioning after hospital discharge.
Zotero 插件