Mental health-related quality of life is related to delirium in intensive care patients

© 2022. Springer-Verlag GmbH Germany, part of Springer Nature..

PURPOSE: Delirium during intensive care unit (ICU) stay may be related to premorbid mental illness. In addition, delirium during ICU stay may also negatively affect long-term health-related quality of life. The aim of our study was to investigate if delirium in the ICU is related to premorbid mental quality of life and affects long-term mental quality of life after ICU stay.

METHODS: We performed a prospective cohort study in 1021 patients admitted for longer than 48 h in a medical-surgical ICU. We evaluated mental and physical quality of life using the Short-form-12 before ICU admission, at hospital discharge, and 3, 6 and 12 months after hospital discharge. Mixed model and logistic regression models were used to analyze the data.

RESULTS: Patients who experienced a delirium during ICU stay reported a worse pre-admission mental quality of life than those without delirium (p < 0.001). Furthermore, patients who suffered from delirium during their ICU stay exhibited a significant decrease in mental quality of life over time relative to patients without delirium (p = 0.035).

CONCLUSION: In this large follow-up study, we demonstrated that ICU survivors who experienced a delirium during ICU stay reported a significantly worse pre-admission mental health-related quality of life and a significant decrease in mental health-related quality of life in the year after hospital discharge compared with patients without delirium.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:48

Enthalten in:

Intensive care medicine - 48(2022), 9 vom: 01. Sept., Seite 1197-1205

Sprache:

Englisch

Beteiligte Personen:

Hofhuis, José G M [VerfasserIn]
Schermer, Tjard [VerfasserIn]
Spronk, Peter E [VerfasserIn]

Links:

Volltext

Themen:

Delirium
Health-related quality of life
ICU
Journal Article
MCS12
Mental health

Anmerkungen:

Date Completed 13.09.2022

Date Revised 21.11.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00134-022-06841-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM345030222