{"id":24397,"date":"2023-08-18T04:42:00","date_gmt":"2023-08-17T20:42:00","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=24397"},"modified":"2023-08-18T05:38:29","modified_gmt":"2023-08-17T21:38:29","slug":"chest%e5%8f%91%e8%a1%a8%e8%ae%ba%e6%96%87%ef%bc%9a%e6%80%a5%e6%80%a7%e5%91%bc%e5%90%b8%e5%8a%9f%e8%83%bd%e8%a1%b0%e7%ab%ad%e5%90%8e%e7%9a%84%e5%81%a5%e5%ba%b7%e9%a2%84%e6%9c%9f%e4%b8%8e%e7%94%9f","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=24397","title":{"rendered":"[Chest\u53d1\u8868\u8bba\u6587]\uff1a\u6025\u6027\u547c\u5438\u529f\u80fd\u8870\u7aed\u540e\u7684\u5065\u5eb7\u9884\u671f\u4e0e\u751f\u6d3b\u8d28\u91cf"},"content":{"rendered":"\n

CRITICAL CARE: ORIGINAL RESEARCH| VOLUME 164, ISSUE 1<\/a>, P114-123, JULY 2023Download Full Issue<\/p>\n\n\n\n

Health Expectations and Quality of Life After Acute Respiratory Failure: A Multicenter Prospective Cohort Study<\/h1>\n\n\n\n

Alison E. Turnbull, Emma M. Lee, Victor D. Dinglas, et al<\/h3>\n\n\n\n

Chest 2023; 164: 114-123 Published:January 18, 2023<\/h3>\n\n\n\n

DOI:https:\/\/doi.org\/10.1016\/j.chest.2023.01.016<\/a><\/h3>\n\n\n\n

Background<\/h3>\n\n\n\n

Patients often have high expectations for recovery after critical illness, but the impact of these expectations on subsequent quality of life (QoL) after serious illnesses has not been evaluated empirically.<\/p>\n\n\n\n

Research Question<\/h3>\n\n\n\n

Among adult survivors of acute respiratory failure (ARF), are met vs unmet expectations for health associated with self-reported QoL 6 months after discharge?<\/p>\n\n\n\n

Study Design and Methods<\/h3>\n\n\n\n

This was a prospective longitudinal cohort study enrolling consecutive adult patients with ARF managed in ICUs at five academic medical centers. At hospital discharge, we evaluated participants\u2019 expected health 6 months in the future via a visual analog scale (VAS; range, 0-100), with higher scores representing better expected health. At 6-month follow-up, perceived health was assessed using the EQ-5D VAS, and QoL was assessed using the World Health Organization Quality of Life Brief Version (WHOQOL-BREF) instrument. Participants\u2019 health expectations were categorized as having been met when perceived health at 6 months was no more than eight points lower than their expectation at study enrollment. The primary analysis compared WHOQOL-BREF domain scores (range, 0-100) at 6 months after discharge in patients with met vs unmet health expectations using the nonparametric Mann-Whitney U<\/em> test. Secondary analysis modeled WHOQOL-BREF domain scores using multivariate regression, and sensitivity analyses assessed QoL using EQ-5D-5L index values.<\/p>\n\n\n\n

Results<\/h3>\n\n\n\n

In the primary analysis, QoL was significantly better among participants with met vs\u00a0unmet health expectations across all domains of the WHOQOL-BREF: physical health (estimated difference in scores: median, 19 [interquartile range (IQR), 12-15];\u00a0P<\/em>\u00a0< .001), psychological health (median, 12 [IQR, 6-18];\u00a0P<\/em>\u00a0< .001), social relationships (median, 6 [IQR, 0-13];\u00a0P<\/em>\u00a0= .02), and environmental health (median, 12 [IQR, 6-13];\u00a0P<\/em>\u00a0< .001). In multivariate regression, the difference between expected and perceived health remained associated significantly with the physical health domain score.<\/p>\n\n\n\n

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Interpretation<\/h3>\n\n\n\n

Fulfillment of health expectations is associated with better QoL after ARF, suggesting a mechanism underpinning successful ICU recovery programs that incorporate normalization and expectation management.<\/p>\n","protected":false},"excerpt":{"rendered":"

CRITICAL CARE: ORIGINAL RESEARCH| VOLUME 164, ISSU […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[32,23],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/24397"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=24397"}],"version-history":[{"count":1,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/24397\/revisions"}],"predecessor-version":[{"id":24398,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/24397\/revisions\/24398"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=24397"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=24397"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=24397"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}