Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients

BOZ, ASLI; Guzel, Rengin; Orhan Tıraşçı, Gülşah; Seydaoglu, Gulsah; OZYILMAZ, EZGI; Özkan Kuşcu, Özlem; Karakoc, Emre

doi:10.5606/tftrd.2022.5287

Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients

Ezgi ÖZYILMAZ, (Çukurova Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları ve Yoğun Bakım Ünitesi, Adana, Türkiye)

Özlem ÖZKAN KUŞCU, (Seyhan Devlet Hastanesi, Yoğun Bakım Ünitesi, Adana, Türkiye)

Emre KARAKOÇ, (Çukurova Üniversitesi, Tıp Fakültesi, Dahiliye ve Yoğun Bakım Ünitesi, Adana, Türkiye)

Aslı BOZ, (Çukurova Üniversitesi, Tıp Fakültesi, Biyoistatistik Anabilim Dalı, Adana, Türkiye)

Gülşah ORHAN TIRAŞÇI, (Çukurova Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları ve Yoğun Bakım Ünitesi, Adana, Türkiye)

Rengin GÜZEL, (Çukurova Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Adana, Türkiye)

Gülşah ŞEYDAOĞLU (Çukurova Üniversitesi, Tıp Fakültesi, Biyoistatistik Anabilim Dalı, Adana, Türkiye)

Turkish Journal of Physical Medicine and Rehabilitation

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Yıl: 2022 Cilt: 68 Sayı: 1 Sayfa Aralığı: 19 - 29 Metin Dili: İngilizce DOI: 10.5606/tftrd.2022.5287 İndeks Tarihi: 21-05-2023

Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients

Öz:

Objectives: In this study, we aimed to investigate whether quality of life (QoL) before intensive care unit (ICU) admission could predict ICU mortality in critically ill patients. Patients and methods: Between January 2019 and April 2019, a total of 105 ICU patients (54 males, 51 females; mean age: 58 years; range, 18 to 91 years) from two ICUs of a tertiary care hospital were included in this cross-sectional, prospective study. Pre-admission QoL was measured by the Short Form (SF)-12- Physical Component Scores (PCS) and Mental Component Scores (MCS) and EuroQoL five-dimension, five-level scale (EQ-5D-5L) within 24 h of ICU admission and mortality rates were estimated. Results: The overall mortality rate was 28.5%. Pre-admission QoL was worse in the non-survivors independent from age, sex, socioeconomic and education status, and comorbidities. During the hospitalization, the rate of sepsis and ventilator/hospital-acquired pneumonia were similar among the two groups (p>0.05). Logistic regression analysis adjusted for sex, age, education status, and Acute Physiology and Chronic Health Evaluation II (APACHE II) scores showed that pre-admission functional status as assessed by the SF-12 MCS (odds ratio [OR]: 14,2; 95% confidence interval [CI]: 2.5-79.0), SF-12 PCS (OR: 10.6; 95% CI: 1.8-62.7), and EQ-5D-5L (OR: 8.0; 95% CI: 1.5-44.5) were found to be independently associated with mortality. Conclusion: Worse pre-admission QoL is a strong predictor of mortality in critically ill patients. The SF-12 and EQ-5D-5L scores are both valuable tools for this assessment. Not only the physical status, but also the mental status before ICU admission should be evaluated in terms of QoL to better utilize ICU resources.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	OZYILMAZ E, Özkan Kuşcu Ö, Karakoc E, BOZ A, Orhan Tıraşçı G, Guzel R, Seydaoglu G (2022). Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients. , 19 - 29. 10.5606/tftrd.2022.5287
Chicago	OZYILMAZ EZGI,Özkan Kuşcu Özlem,Karakoc Emre,BOZ ASLI,Orhan Tıraşçı Gülşah,Guzel Rengin,Seydaoglu Gulsah Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients. (2022): 19 - 29. 10.5606/tftrd.2022.5287
MLA	OZYILMAZ EZGI,Özkan Kuşcu Özlem,Karakoc Emre,BOZ ASLI,Orhan Tıraşçı Gülşah,Guzel Rengin,Seydaoglu Gulsah Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients. , 2022, ss.19 - 29. 10.5606/tftrd.2022.5287
AMA	OZYILMAZ E,Özkan Kuşcu Ö,Karakoc E,BOZ A,Orhan Tıraşçı G,Guzel R,Seydaoglu G Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients. . 2022; 19 - 29. 10.5606/tftrd.2022.5287
Vancouver	OZYILMAZ E,Özkan Kuşcu Ö,Karakoc E,BOZ A,Orhan Tıraşçı G,Guzel R,Seydaoglu G Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients. . 2022; 19 - 29. 10.5606/tftrd.2022.5287
IEEE	OZYILMAZ E,Özkan Kuşcu Ö,Karakoc E,BOZ A,Orhan Tıraşçı G,Guzel R,Seydaoglu G "Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients." , ss.19 - 29, 2022. 10.5606/tftrd.2022.5287
ISNAD	OZYILMAZ, EZGI vd. "Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients". (2022), 19-29. https://doi.org/10.5606/tftrd.2022.5287

APA	OZYILMAZ E, Özkan Kuşcu Ö, Karakoc E, BOZ A, Orhan Tıraşçı G, Guzel R, Seydaoglu G (2022). Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients. Turkish Journal of Physical Medicine and Rehabilitation, 68(1), 19 - 29. 10.5606/tftrd.2022.5287
Chicago	OZYILMAZ EZGI,Özkan Kuşcu Özlem,Karakoc Emre,BOZ ASLI,Orhan Tıraşçı Gülşah,Guzel Rengin,Seydaoglu Gulsah Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients. Turkish Journal of Physical Medicine and Rehabilitation 68, no.1 (2022): 19 - 29. 10.5606/tftrd.2022.5287
MLA	OZYILMAZ EZGI,Özkan Kuşcu Özlem,Karakoc Emre,BOZ ASLI,Orhan Tıraşçı Gülşah,Guzel Rengin,Seydaoglu Gulsah Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients. Turkish Journal of Physical Medicine and Rehabilitation, vol.68, no.1, 2022, ss.19 - 29. 10.5606/tftrd.2022.5287
AMA	OZYILMAZ E,Özkan Kuşcu Ö,Karakoc E,BOZ A,Orhan Tıraşçı G,Guzel R,Seydaoglu G Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients. Turkish Journal of Physical Medicine and Rehabilitation. 2022; 68(1): 19 - 29. 10.5606/tftrd.2022.5287
Vancouver	OZYILMAZ E,Özkan Kuşcu Ö,Karakoc E,BOZ A,Orhan Tıraşçı G,Guzel R,Seydaoglu G Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients. Turkish Journal of Physical Medicine and Rehabilitation. 2022; 68(1): 19 - 29. 10.5606/tftrd.2022.5287
IEEE	OZYILMAZ E,Özkan Kuşcu Ö,Karakoc E,BOZ A,Orhan Tıraşçı G,Guzel R,Seydaoglu G "Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients." Turkish Journal of Physical Medicine and Rehabilitation, 68, ss.19 - 29, 2022. 10.5606/tftrd.2022.5287
ISNAD	OZYILMAZ, EZGI vd. "Worse pre-admission quality of life is a strong predictor of mortality in critically ill patients". Turkish Journal of Physical Medicine and Rehabilitation 68/1 (2022), 19-29. https://doi.org/10.5606/tftrd.2022.5287