Jacobs C J, van der Vliet J A, van Roozendaal M T, van der Linden C J
Department of Surgery, University Hospital, Maastricht, The Netherlands.
Intensive Care Med. 1988;14(3):217-20. doi: 10.1007/BF00717992.
Early and late mortality of 313 ICU patients and the quality of life of 118 long term ICU survivors was studied to assess the effectiveness of intensive care for critically ill patients. The survival rate at discharge from the ICU was 76%, falling to 61% at 6 months and to 58% at 1 year. A simplified acute physiology score (SAPS) was recorded on ICU admission, as well as age, length of ICU-stay and the number of complications during intensive care. Information on housing, drug use, hospital admissions, physical condition and functional status 2 years after ICU discharge was collected by means of a questionnaire. No changes in housing occurred, but drug use and the number of hospital admissions were significantly increased. In 21% of the patients a deteriorated physical condition was found, 77% remained unchanged and 2% were improved 2 years after ICU discharge, compared to their condition prior to the acute illness. Major functional impairment was found in 38% of the patients. Although the longterm physical condition and functional status correlated with SAPS and age on ICU admission, the best indicator for quality of life after intensive care proved to be the health status prior to the acute illness.
研究了313名重症监护病房（ICU）患者的早期和晚期死亡率以及118名长期ICU幸存者的生活质量，以评估重症监护对危重症患者的有效性。ICU出院时的生存率为76%，6个月时降至61%，1年时降至58%。在ICU入院时记录了简化急性生理学评分（SAPS），以及年龄、ICU住院时间和重症监护期间的并发症数量。通过问卷调查收集了ICU出院2年后的住房、药物使用、住院次数、身体状况和功能状态等信息。住房情况没有变化，但药物使用和住院次数显著增加。与急性疾病前的状况相比，21%的患者身体状况恶化，77%保持不变，2%在ICU出院2年后有所改善。38%的患者存在严重功能障碍。尽管长期身体状况和功能状态与ICU入院时的SAPS和年龄相关，但重症监护后生活质量的最佳指标被证明是急性疾病前的健康状况。
