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Quality of life-rel...
Quality of life-related and non-quality of life-related issues in ICU survivors and non-ICU-treated controls : a multi-group exploratory factor analysis
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- Malmgren, Johan (författare)
- Univ Gothenburg, Sahlgrenska Univ Hosp, Sahlgrenska Acad, Dept Anaesthesiol & Intens Care Med,Inst Clin Sci, Bla Straket 5, S-41345 Gothenburg, Sweden.
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- Lundin, Stefan (författare)
- Univ Gothenburg, Sahlgrenska Univ Hosp, Sahlgrenska Acad, Dept Anaesthesiol & Intens Care Med,Inst Clin Sci, Bla Straket 5, S-41345 Gothenburg, Sweden.
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- Waldenström, Ann-Charlotte (författare)
- Univ Gothenburg, Sahlgrenska Univ Hosp, Sahlgrenska Acad, Dept Oncol,Inst Clin Sci, S-41345 Gothenburg, Sweden.
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- Rylander, Christian (författare)
- Uppsala universitet,Anestesiologi och intensivvård
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- Johannesson, Elias (författare)
- Univ West, Dept Social & Behav Studies, Trollhättan, Sweden.
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Univ Gothenburg, Sahlgrenska Univ Hosp, Sahlgrenska Acad, Dept Anaesthesiol & Intens Care Med,Inst Clin Sci, Bla Straket 5, S-41345 Gothenburg, Sweden Univ Gothenburg, Sahlgrenska Univ Hosp, Sahlgrenska Acad, Dept Oncol,Inst Clin Sci, S-41345 Gothenburg, Sweden. (creator_code:org_t)
- BioMed Central (BMC), 2024
- 2024
- Engelska.
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Ingår i: Critical Care. - : BioMed Central (BMC). - 1364-8535 .- 1466-609X. ; 28:1
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- BackgroundQuality of life (QoL) is a key outcome measure in healthcare. However, the heterogeneity in its definitions presents challenges in the objective evaluation of improvement. Universal questionnaires, tailored for a broad demographic group, inadequately represent the unique experiences of intensive care unit (ICU) survivors, including a lack of ability to discriminate issues related to QoL from issues that do not.MethodsUsing a 218-item, 13-domain provisional questionnaire, we assessed 395 adult ICU survivors, with a minimum 72-h stay at one of three Swedish university hospital ICUs, at 6 months to three years post-discharge. Their responses were compared to those of 195 controls, matched for age and sex and randomly recruited from the Swedish Population Registry. By multi-group exploratory factor analysis, we compared dimensionality in QoL perceptions between the two groups, emphasising patterns of correlation to 13 domain-specific QoL questions. Model fit was assessed using information criteria. Internal consistency reliability for each scale was determined using McDonald’s omega or Cronbach’s alpha. All analyses were conducted using Mplus, applying full information maximum likelihood to handle missing data.ResultsAll domains except Cognition had a subset of questions correlating to the domain-specific QoL question in at least the ICU survivor group. The similarity between the two groups varied, with Physical health, Sexual health and Gastrointestinal (GI) functions mainly correlating the same issues to QoL in the two groups. In contrast, Fatigue, Pain, Mental health, activities of daily living, Sleep, Sensory functions and Work life showed considerable differences. In all, about one-fourth of the issues correlated to QoL in the ICU survivor group and about one-tenth of the issues in the control group.ConclusionsWe found most issues experienced by ICU survivors to be unrelated to quality of life. Our findings indicate that the consequences of post-ICU issues may play a more significant role in affecting QoL than the issues themselves; issues restricting and affecting social life and work life were more related to QoL in ICU survivors than in non-ICU-treated controls. Caution is advised before associating all post-ICU problems with an effect on quality of life.Trial registration: ClinicalTrials.gov Ref# NCT02767180; Registered 28 April 2016.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- Critical care
- Intensive care unit
- Critical illness
- Quality of life
- Long-term adverse effects
- Questionnaire
- Patient-reported outcome
- Survivorship
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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