Liliana Cristina da Silva Ferreira Fontes, Bárbara Peleteiro, Paulo Jorge Ribeiro Costa, Joana Carolina João Fernandes, Tatiana Santos Vieira, António José Falcão Braga, Sónia Patrícia Vilar Martins, Ana Rita Leal Ferreira, Isabel Maria Metelo Coimbra, Lia Paula Nogueira Sousa Fernandes, José Artur Osório de Carvalho Paiva
{"title":"重症监护后16个月的生活质量和残疾：COVID-19和非COVID-19幸存者的比较","authors":"Liliana Cristina da Silva Ferreira Fontes, Bárbara Peleteiro, Paulo Jorge Ribeiro Costa, Joana Carolina João Fernandes, Tatiana Santos Vieira, António José Falcão Braga, Sónia Patrícia Vilar Martins, Ana Rita Leal Ferreira, Isabel Maria Metelo Coimbra, Lia Paula Nogueira Sousa Fernandes, José Artur Osório de Carvalho Paiva","doi":"10.1016/j.medine.2025.502309","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Describe and compare the Quality of Life (QoL) and disability of critical care survivors with COVID-19 and NON-COVID-19 critical illness, admitted during and after the pandemic period. We hypothesize that both COVID-19 disease and the pandemic context have a significant impact on long-term outcomes of Intensive Care Unit (ICU) survivors.</p><p><strong>Design: </strong>Post-hoc analysis of prospectively collected data.</p><p><strong>Setting: </strong>Intensive Care Department of Unidade Local de Saúde São João between 1st October 2020 and 31st December 2021.</p><p><strong>Participants: </strong>Three groups of adult critical care survivors; Group 1: critical COVID-19 patients; Group 2: critical patients with other diagnosis, admitted in the pandemic period; Group 3: critical patients admitted in the post-pandemic period due to non-COVID-19 causes.</p><p><strong>Intervention: </strong>Telephone consultation 16 months after discharge home, assessing QoL and disability.</p><p><strong>Main variables of interest: </strong>QoL five dimensions, EuroQol Visual Analog Scale (EQ-VAS) and Health and disability 6 domains.</p><p><strong>Results: </strong>Of the 185 survivors, Group 1 reported less problems in\"Self-care\" (OR = 0.15, 95%CI: 0.04-0.55), \"Usual activities\" (OR = 0.20, 95%CI: 0.08-0.0.52), and \"Anxiety/Depression\" (OR = 0.36, 95%CI: 0.14-0.97) dimensions. Health and disability domains assessment showed Group 1 had less difficulties in \"Cognition\" (OR = 0.37, 95%CI: 0.15-0.91), \"Mobility\" (OR = 0.25, 95%CI: 0.09-0.68), \"Self-care\" (OR = 0.15, 95%CI: 0.05-0.40) and \"Life activities\" (OR = 0.32, 95%CI: 0.13-0.76).</p><p><strong>Conclusions: </strong>Sixteen months after discharge home, survivors of non-COVID-19 admitted during the pandemic period present worse QoL and functional status than COVID-19 survivors admitted during the same period and greater post-hospital discharge healthcare needs.</p>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":"502309"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Quality of life and disability 16 months after critical care illness: Comparison between COVID-19 and non-COVID-19 survivors.\",\"authors\":\"Liliana Cristina da Silva Ferreira Fontes, Bárbara Peleteiro, Paulo Jorge Ribeiro Costa, Joana Carolina João Fernandes, Tatiana Santos Vieira, António José Falcão Braga, Sónia Patrícia Vilar Martins, Ana Rita Leal Ferreira, Isabel Maria Metelo Coimbra, Lia Paula Nogueira Sousa Fernandes, José Artur Osório de Carvalho Paiva\",\"doi\":\"10.1016/j.medine.2025.502309\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Describe and compare the Quality of Life (QoL) and disability of critical care survivors with COVID-19 and NON-COVID-19 critical illness, admitted during and after the pandemic period. We hypothesize that both COVID-19 disease and the pandemic context have a significant impact on long-term outcomes of Intensive Care Unit (ICU) survivors.</p><p><strong>Design: </strong>Post-hoc analysis of prospectively collected data.</p><p><strong>Setting: </strong>Intensive Care Department of Unidade Local de Saúde São João between 1st October 2020 and 31st December 2021.</p><p><strong>Participants: </strong>Three groups of adult critical care survivors; Group 1: critical COVID-19 patients; Group 2: critical patients with other diagnosis, admitted in the pandemic period; Group 3: critical patients admitted in the post-pandemic period due to non-COVID-19 causes.</p><p><strong>Intervention: </strong>Telephone consultation 16 months after discharge home, assessing QoL and disability.</p><p><strong>Main variables of interest: </strong>QoL five dimensions, EuroQol Visual Analog Scale (EQ-VAS) and Health and disability 6 domains.</p><p><strong>Results: </strong>Of the 185 survivors, Group 1 reported less problems in\\\"Self-care\\\" (OR = 0.15, 95%CI: 0.04-0.55), \\\"Usual activities\\\" (OR = 0.20, 95%CI: 0.08-0.0.52), and \\\"Anxiety/Depression\\\" (OR = 0.36, 95%CI: 0.14-0.97) dimensions. Health and disability domains assessment showed Group 1 had less difficulties in \\\"Cognition\\\" (OR = 0.37, 95%CI: 0.15-0.91), \\\"Mobility\\\" (OR = 0.25, 95%CI: 0.09-0.68), \\\"Self-care\\\" (OR = 0.15, 95%CI: 0.05-0.40) and \\\"Life activities\\\" (OR = 0.32, 95%CI: 0.13-0.76).</p><p><strong>Conclusions: </strong>Sixteen months after discharge home, survivors of non-COVID-19 admitted during the pandemic period present worse QoL and functional status than COVID-19 survivors admitted during the same period and greater post-hospital discharge healthcare needs.</p>\",\"PeriodicalId\":94139,\"journal\":{\"name\":\"Medicina intensiva\",\"volume\":\" \",\"pages\":\"502309\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-09-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medicina intensiva\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/j.medine.2025.502309\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicina intensiva","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.medine.2025.502309","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Quality of life and disability 16 months after critical care illness: Comparison between COVID-19 and non-COVID-19 survivors.
Objective: Describe and compare the Quality of Life (QoL) and disability of critical care survivors with COVID-19 and NON-COVID-19 critical illness, admitted during and after the pandemic period. We hypothesize that both COVID-19 disease and the pandemic context have a significant impact on long-term outcomes of Intensive Care Unit (ICU) survivors.
Design: Post-hoc analysis of prospectively collected data.
Setting: Intensive Care Department of Unidade Local de Saúde São João between 1st October 2020 and 31st December 2021.
Participants: Three groups of adult critical care survivors; Group 1: critical COVID-19 patients; Group 2: critical patients with other diagnosis, admitted in the pandemic period; Group 3: critical patients admitted in the post-pandemic period due to non-COVID-19 causes.
Intervention: Telephone consultation 16 months after discharge home, assessing QoL and disability.
Main variables of interest: QoL five dimensions, EuroQol Visual Analog Scale (EQ-VAS) and Health and disability 6 domains.
Results: Of the 185 survivors, Group 1 reported less problems in"Self-care" (OR = 0.15, 95%CI: 0.04-0.55), "Usual activities" (OR = 0.20, 95%CI: 0.08-0.0.52), and "Anxiety/Depression" (OR = 0.36, 95%CI: 0.14-0.97) dimensions. Health and disability domains assessment showed Group 1 had less difficulties in "Cognition" (OR = 0.37, 95%CI: 0.15-0.91), "Mobility" (OR = 0.25, 95%CI: 0.09-0.68), "Self-care" (OR = 0.15, 95%CI: 0.05-0.40) and "Life activities" (OR = 0.32, 95%CI: 0.13-0.76).
Conclusions: Sixteen months after discharge home, survivors of non-COVID-19 admitted during the pandemic period present worse QoL and functional status than COVID-19 survivors admitted during the same period and greater post-hospital discharge healthcare needs.
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