چکیده:
Objectives: Neuro-critical Intensive Care Units (NICUs) have functioned to deliver intensive
medical care services for patients with acute neurology problems. However, physicians and
ICU staff do not have any feedback about their patients and their abilities after successful
discharge. Various studies have documented short-term survival in ICUs, but the long-term
outcome and quality of life (QOL) are less studied.
Methods: This is a retrospective cohort study over a period of one year from February 2011 to
February 2012 (Shiraz, South of Iran). Patients' charts were used to collect the data. Survival
and QOL after one year following NICU admission were assessed for surviving patients by
a telephone interview with patients or their family members using Karnofsky Performance
Scale (KPS).
Results: Out of 93 patients, 42(45.2%) were male, and 51(54.8%) were female. Malignant
ischemic stroke (34%) was the most common cause followed by Guillain Barre Syndrome
(21%). Among the living successfully discharged patients, 45% were able to perform normal
activity and work without any special assistance. The patients who were unable to work were
28%, but they were able to live at home and care for their most personal needs. The patients
who were unable to care for themselves were 3% and required institutional or hospital care.
Over one year following discharge, 24% patients were passed away.
Discussion: is lower in NICU survivors compared with general population; however, if patients'
selection and out of hospital care are done appropriately and continuously, more patients can
live independently or even come back to their work. Indeed, it is important to identify patients
who benefit more from NICU during decision making for ICU admission. As a result, more
efficient rehabilitation could be achieved in the future. However, our conclusions are only
related to our ward and do not apply to the total population of critical neurology patients.
خلاصه ماشینی:
Research Paper: One Year Survival and Quality of Life in Patients Successfully Discharged From Neuro Critical Care Unit Maryam Poursadeghfard1,2, Kamal Bastani1, Tahereh Poursadeghfard3, Sina Karamimagham4, Sadegh Izadi2* 1.
After determining the in-hospital mortality rate in this year, each patient who was dis- charged from NICU was evaluated for basic functional state and QOL before admission.
There are some recent data about higher non-ICU admission and mortal- ity in critically ill female patients especially those who are older than 50 years.
In the study performed by Fowler and coworkers showed that although elderly males have a higher rate of death after hospital admission, in critically ill patients women are more prone to death than men of similar age [11].
One Year Survival and Quality of Life in Patients Successfully Discharged From Neuro Critical Care Unit.
One Year Survival and Quality of Life in Patients Successfully Discharged From Neuro Critical Care Unit.
One Year Survival and Quality of Life in Patients Successfully Discharged From Neuro Critical Care Unit.
One Year Survival and Quality of Life in Patients Successfully Discharged From Neuro Critical Care Unit.
One Year Survival and Quality of Life in Patients Successfully Discharged From Neuro Critical Care Unit.
One Year Survival and Quality of Life in Patients Successfully Discharged From Neuro Critical Care Unit.
One Year Survival and Quality of Life in Patients Successfully Discharged From Neuro Critical Care Unit.
One Year Survival and Quality of Life in Patients Successfully Discharged From Neuro Critical Care Unit.