ICU sedation, delirium & recovery

Associations Between Physical, Cognitive, and Mental Health Domains of Post-Intensive Care Syndrome and Quality of Life: A Longitudinal Multicenter Cohort Study

Crit Care MedPublished Prospective cohort study

Authors' conclusion

PICS symptoms in the physical, cognitive, and mental domains are all negatively associated with changes in HRQoL at 3 and 12 months post-ICU.

Study context

Population
ICU patients from seven Dutch ICUs
Participants
4,092 patients · 7 Dutch ICUs
Outcome
Associations of physical, cognitive and mental post-intensive care syndrome (PICS) health domains with changes in HRQoL
Follow-up
3 and 12 months post-ICU
Methodological detailslongitudinal, multicentre
  • Longitudinal
  • Multicentre

Main finding

As reported in the abstract

Association of PICS domains with change in HRQoL (adjusted multivariable linear regression)
Physical health problems, 3 months (n = 3368): β
−0.04 (95% CI −0.06 to 0.02; p < 0.001)
Cognitive health problems, 3 months (n = 3368): β
−0.05 (95% CI −0.09 to −0.02; p < 0.001)
Mental health problems, 3 months (n = 3368): β
−0.08 (95% CI −0.10 to −0.05; p < 0.001)
Physical health problems, 12 months (n = 2950): β
−0.06 (95% CI −0.08 to −0.03; p < 0.001)
Cognitive health problems, 12 months (n = 2950): β
−0.04 (95% CI −0.08 to −0.01; p < 0.015)
Mental health problems, 12 months (n = 2950): β
−0.06 (95% CI −0.08 to −0.03; p < 0.001)

Observational data: associations, not effects.

Original publication

Associations Between Physical, Cognitive, and Mental Health Domains of Post-Intensive Care Syndrome and Quality of Life: A Longitudinal Multicenter Cohort Study. Crit Care Med. Published 24 October 2024. doi:10.1097/ccm.0000000000006461

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