A Study of ICU Outcome and Long-Term Quality of Life in ICU Survivors in Central India

ABSTRACT

Background: Patient surviving in the ICU may have to undergo physical and mental sufferings after the discharge from the ICU. Health Related Quality of Life (HRQoL) of such patients post discharge has been addressed mostly in developed countries, however in developing countries the data is insufficient. Thus, in this study we have aimed to assessed the HRQoL of such patients. Objectives: To evaluate the HRQoL of critically ill survivors in Central India Methodology: It was a prospective, observational study conducted on the 82 patients of an ICU of central India. APACHE II and SOFA score were calculated after the admission of the patient and a Short Form Health Survey (SF -36) was conducted at 1 st , 3 rd and 6 th month by telephonic interview after the discharge of the patient. Result: APACHEII and SOFA score was found significantly associated with the mortality outcome of the patient (p<0.0001). HRQOL improved in survivor patients progressively after hospital discharge and was maximum at 6 months (p<0.0001). Conclusion: The APACHE II score and SOFA score were able to predict the mortality of the patients, and the HRQOL was improved significantly over a period of 6 months post discharge.