Zeggwagh Zineb, Abidi Khalid, Kettani Mohamed Nz, Iraqi Amina, Dendane Tarek, Zeggwagh Amine Ali
Medical Intensive Care Unit, Ibn Sina Hospital, Mohammed V University, Rabat, Morocco.
King Fahd Highschool, Abdelmalek Essaadi University of Tanger, Morocco.
Indian J Crit Care Med. 2020 Jul;24(7):531-538. doi: 10.5005/jp-journals-10071-23489.
The aims of this study were to evaluate changes in health-related quality of life (HRQoL) before ICU admission and after ICU discharge in elderly patients and to determine predictors of this HRQoL.
This prospective study has been realized in the medical ICU (August 2012-March 2013). All patients 65 years of age or older who were hospitalized for ≥48 hours in our medical ICU have been included. The HRQoL was assessed 1 month prior to ICU admission in all the patients at admission and 3 months after ICU discharge for survivors using the Arabic version of MOS SF-36 questionnaire.
We enrolled 118 patients (66 M: 55.9% and 52 F: 44.1%). The mean age was 72 ± 6 years. ICU mortality rate was 47.5% and three-month mortality rate was 55.1%. The reliability and validity of MOS SF-36 were satisfactory. Among the 53 survivors at follow-up, the subscales of MOS SF-36 decreased significantly at 3 months after ICU stay except the "Bodily Pain". The physical component score (PCS) and mental component score (MCS) decreased also significantly. The independent factors strongly associated with PCS and its variations were: age ( = -1.56, = 0.001), prior functional status ( = -22.10, = 0.002) and SAPSII ( = -0.16, = 0.04). For MCS, these factors were: live alone ( = 16.50, = 0.006), previous functional status ( = -9.09, = 0.008) and existence of education level ( = 2.98, = 0.037).
We demonstrated a fall in the physical and psychical aspects of HRQoL 3 months after ICU discharge in the elderly patients. In addition to factors such as age, prior functional status and severity of illness, family status and educational level seem decisive in the post-ICU HRQoL.
Zeggwagh Z, Abidi K, Kettani MNZ, Iraqi A, Dendane T, Zeggwagh AA. Health-related Quality of Life Evaluated by MOS SF-36 in the Elderly Patients 1 Month before ICU Admission and 3 Months after ICU Discharge. Indian J Crit Care Med 2020;24(7):531-538.
本研究旨在评估老年患者重症监护病房（ICU）入院前及出院后健康相关生活质量（HRQoL）的变化，并确定HRQoL的预测因素。
本前瞻性研究于医学重症监护病房进行（2012年8月至2013年3月）。纳入所有在我院医学重症监护病房住院≥48小时的65岁及以上患者。所有患者在入院时于ICU入院前1个月使用阿拉伯语版MOS SF-36问卷评估HRQoL，幸存者在ICU出院后3个月进行评估。
我们纳入了118例患者（男性66例：55.9%，女性52例：44.1%）。平均年龄为72±6岁。ICU死亡率为47.5%，3个月死亡率为55.1%。MOS SF-36的信度和效度令人满意。在随访的53例幸存者中，ICU住院3个月后，MOS SF-36的各子量表除“身体疼痛”外均显著下降。身体成分得分（PCS）和精神成分得分（MCS）也显著下降。与PCS及其变化密切相关的独立因素为：年龄（β=-1.56，P=0.001）、既往功能状态（β=-22.10，P=0.002）和简化急性生理学评分II（SAPSII）（β=-0.16，P=0.04）。对于MCS，这些因素为：独居（β=16.50，P=0.006）、既往功能状态（β=-9.09，P=0.008）和受教育程度（β=2.98，P=0.037）。
我们证明老年患者ICU出院3个月后HRQoL的身体和心理方面均有所下降。除年龄、既往功能状态和疾病严重程度等因素外，家庭状况和教育程度似乎对ICU后HRQoL起决定性作用。
Zeggwagh Z，Abidi K，Kettani MNZ，Iraqi A，Dendane T，Zeggwagh AA。MOS SF-36评估老年患者ICU入院前1个月及出院后3个月的健康相关生活质量。《印度重症医学杂志》2020；24（7）：531 - 538。
