Health-related quality of life in intensive care survivors: Associations with social support, comorbidity, and pain interference.

<h4>Background</h4>Experiences during a stay in the intensive care unit (ICU), including pain, delirium, physical deterioration, and the critical illness itself, may all influence survivors' health-related quality of life (HRQOL). However, few studies have examined the influence of...

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Main Authors: Anne Kathrine Langerud, Tone Rustøen, Milada Cvancarova Småstuen, Ulf Kongsgaard, Audun Stubhaug
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0199656&type=printable
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author Anne Kathrine Langerud
Tone Rustøen
Milada Cvancarova Småstuen
Ulf Kongsgaard
Audun Stubhaug
author_facet Anne Kathrine Langerud
Tone Rustøen
Milada Cvancarova Småstuen
Ulf Kongsgaard
Audun Stubhaug
author_sort Anne Kathrine Langerud
collection DOAJ
description <h4>Background</h4>Experiences during a stay in the intensive care unit (ICU), including pain, delirium, physical deterioration, and the critical illness itself, may all influence survivors' health-related quality of life (HRQOL). However, few studies have examined the influence of social support, comorbidity, and pain interference on ICU survivors' HRQOL.<h4>Objectives</h4>To investigate possible associations between social support, number of comorbidities, and pain interference on HRQOL in ICU survivors.<h4>Methods</h4>ICU survivors responded to a survey 3 months (n = 118) and 1 year (n = 89) after ICU discharge. HRQOL was measured using the Short Form Health Survey-12 (v1), social support using the revised Social Provision Scale, pain interference using the Brief Pain Inventory-Short Form, and comorbidities using the Self-Administered Comorbidity Questionnaire.<h4>Results</h4>Physical and mental HRQOL were reduced at both 3 months and 1 year in ICU survivors compared with the general population. This reduction was more pronounced at 3 months for physical HRQOL, while a small reduction in mental HRQOL was not clinically relevant. Social support was statistical significantly positively associated with mental HRQOL at 3 months, while number of comorbidities was statistical significantly associated with a reduction in physical HRQOL at 3 months and 1 year and mental HRQOL at 1 year. Lastly pain interference was significantly associated with a reduction in physical HRQOL at 3 months and 1 year.<h4>Conclusions</h4>ICU survivors primarily report reduced physical HRQOL. Social support was positively associated with mental HRQOL, while number of comorbidities, and pain interference were all significantly associated with a reduction in HRQOL. Pain interference was associated with the largest reduction in HRQOL.
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spelling doaj-art-e17b1488bb804e29b60cf0f17ed0381c2025-08-20T03:04:35ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01136e019965610.1371/journal.pone.0199656Health-related quality of life in intensive care survivors: Associations with social support, comorbidity, and pain interference.Anne Kathrine LangerudTone RustøenMilada Cvancarova SmåstuenUlf KongsgaardAudun Stubhaug<h4>Background</h4>Experiences during a stay in the intensive care unit (ICU), including pain, delirium, physical deterioration, and the critical illness itself, may all influence survivors' health-related quality of life (HRQOL). However, few studies have examined the influence of social support, comorbidity, and pain interference on ICU survivors' HRQOL.<h4>Objectives</h4>To investigate possible associations between social support, number of comorbidities, and pain interference on HRQOL in ICU survivors.<h4>Methods</h4>ICU survivors responded to a survey 3 months (n = 118) and 1 year (n = 89) after ICU discharge. HRQOL was measured using the Short Form Health Survey-12 (v1), social support using the revised Social Provision Scale, pain interference using the Brief Pain Inventory-Short Form, and comorbidities using the Self-Administered Comorbidity Questionnaire.<h4>Results</h4>Physical and mental HRQOL were reduced at both 3 months and 1 year in ICU survivors compared with the general population. This reduction was more pronounced at 3 months for physical HRQOL, while a small reduction in mental HRQOL was not clinically relevant. Social support was statistical significantly positively associated with mental HRQOL at 3 months, while number of comorbidities was statistical significantly associated with a reduction in physical HRQOL at 3 months and 1 year and mental HRQOL at 1 year. Lastly pain interference was significantly associated with a reduction in physical HRQOL at 3 months and 1 year.<h4>Conclusions</h4>ICU survivors primarily report reduced physical HRQOL. Social support was positively associated with mental HRQOL, while number of comorbidities, and pain interference were all significantly associated with a reduction in HRQOL. Pain interference was associated with the largest reduction in HRQOL.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0199656&type=printable
spellingShingle Anne Kathrine Langerud
Tone Rustøen
Milada Cvancarova Småstuen
Ulf Kongsgaard
Audun Stubhaug
Health-related quality of life in intensive care survivors: Associations with social support, comorbidity, and pain interference.
PLoS ONE
title Health-related quality of life in intensive care survivors: Associations with social support, comorbidity, and pain interference.
title_full Health-related quality of life in intensive care survivors: Associations with social support, comorbidity, and pain interference.
title_fullStr Health-related quality of life in intensive care survivors: Associations with social support, comorbidity, and pain interference.
title_full_unstemmed Health-related quality of life in intensive care survivors: Associations with social support, comorbidity, and pain interference.
title_short Health-related quality of life in intensive care survivors: Associations with social support, comorbidity, and pain interference.
title_sort health related quality of life in intensive care survivors associations with social support comorbidity and pain interference
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0199656&type=printable
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