Health related quality of life six months following surgical treatment for secondary peritonitis--using the EQ-5D questionnaire.
Health Qual Life Outcomes
; 5: 35, 2007 Jul 02.
Article
em En
| MEDLINE
| ID: mdl-17601343
ABSTRACT
BACKGROUND:
To compare health related quality of life (HR-QoL) in patients surgically treated for secondary peritonitis to that of a healthy population. And to prospectively identify factors associated with poorer (lower) HR-QoL.DESIGN:
A prospective cohort of secondary peritonitis patients was mailed the EQ-5D and EQ-VAS 6-months following initial laparotomy.SETTING:
Multicenter study in two academic and seven regional teaching hospitals. PATIENTS 130 of the 155 eligible patients (84%) responded to the HR-QoL questionnaires.RESULTS:
HR-QoL was significantly worse on all dimensions in peritonitis patients than in a healthy reference population. Peritonitis characteristics at initial presentation were not associated with HR-QoL at six months. A more complicated course of the disease leading to longer hospitalization times and patients with an enterostomy had a negative impact on the mobility (p = 0.02), self-care (p < 0.001) and daily activities (p = 0.01). In a multivariate analysis for the EQ-VAS every doubling of hospital stay decreases the EQ-VAS by 3.8 points (p = 0.015). Morbidity during the six-month follow-up was not found to be predictive for the EQ-5D or EQ-VAS.CONCLUSION:
Six months following initial surgery, patients with secondary peritonitis report more problems in HR-QoL than a healthy reference population. Unfavorable disease characteristics at initial presentation were not predictive for poorer HR-QoL, but a more complicated course of the disease was most predictive of HR-QoL at 6 months.
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Peritonite
/
Psicometria
/
Qualidade de Vida
/
Índice de Gravidade de Doença
/
Enterostomia
/
Inquéritos e Questionários
/
Avaliação de Resultados em Cuidados de Saúde
/
Unidades de Terapia Intensiva
/
Laparotomia
Tipo de estudo:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Health Qual Life Outcomes
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Holanda