ICU sedation, delirium & recovery

Factors Influencing Quality of Life After Intensive Care: A Systematic Review and Meta-Analysis

Crit Care MedPublished Systematic review and meta-analysis of observational studies

Authors' conclusion

Most pre-ICU and intra-ICU factors demonstrated strong associations with post-ICU QOL. The QOL in post-ICU patients remains at a moderate level, with the PCS score indicating greater impairment than the MCS score.

Study context

Population
Post-ICU patients
Participants
17,298 patients · 65 studies
Outcome
Factors influencing QOL and QOL levels after intensive care
Methodological details8 databases searched from inception to October 15, 2024, Two independent reviewers extracted data
  • 8 databases searched from inception to October 15, 2024
  • Two independent reviewers extracted data

Pooled result

As reported in the abstract

Factors associated with post-ICU QOL
Advanced age (per 1-yr increase), β
−0.045 (95% CI −0.057 to −0.033)
Female gender, OR
1.104 (95% CI 1.035-1.177)
ICU LOS (per 1-d increase), β
−0.012 (95% CI −0.019 to −0.005)
Length of mechanical ventilation (per 1-d increase), β
−0.005 (95% CI −0.009 to −0.001)
Hospital LOS (per 1-d increase), β
−0.107 (95% CI −0.161 to −0.054)

Further pooled results

Pooled quality of life (QOL) levels

Pooled overall QOL score
58.835 (95% CI 52.935-64.735)
Pooled physical component summary (PCS) score
49.517 (95% CI 45.781-53.253)
Pooled mental component summary (MCS) score
53.509 (95% CI 50.301-56.718)
Pooled overall QOL index
0.750 (95% CI 0.713-0.787)

Original publication

Factors Influencing Quality of Life After Intensive Care: A Systematic Review and Meta-Analysis. Crit Care Med. Published 15 July 2025. doi:10.1097/ccm.0000000000006770

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