Health-related Quality of Life Evaluated by MOS SF-36 in the Elderly Patients 1 Month before ICU Admission and 3 Months after ICU Discharge.

Journal: Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

Volume: 24

Issue: 7

Year of Publication: 

Affiliated Institutions:  Medical Intensive Care Unit, Ibn Sina Hospital, Mohammed V University, Rabat, Morocco. King Fahd Highschool, Abdelmalek Essaadi University of Tanger, Morocco.

Abstract summary 

The aims of this study were to evaluate changes in health-related quality of life (HRQoL) before ICU admission and after ICU discharge in elderly patients and to determine predictors of this HRQoL.This prospective study has been realized in the medical ICU (August 2012-March 2013). All patients 65 years of age or older who were hospitalized for ≥48 hours in our medical ICU have been included. The HRQoL was assessed 1 month prior to ICU admission in all the patients at admission and 3 months after ICU discharge for survivors using the Arabic version of MOS SF-36 questionnaire.We enrolled 118 patients (66 M: 55.9% and 52 F: 44.1%). The mean age was 72 ± 6 years. ICU mortality rate was 47.5% and three-month mortality rate was 55.1%. The reliability and validity of MOS SF-36 were satisfactory. Among the 53 survivors at follow-up, the subscales of MOS SF-36 decreased significantly at 3 months after ICU stay except the "Bodily Pain". The physical component score (PCS) and mental component score (MCS) decreased also significantly. The independent factors strongly associated with PCS and its variations were: age ( = -1.56, = 0.001), prior functional status ( = -22.10, = 0.002) and SAPSII ( = -0.16, = 0.04). For MCS, these factors were: live alone ( = 16.50, = 0.006), previous functional status ( = -9.09, = 0.008) and existence of education level ( = 2.98, = 0.037).We demonstrated a fall in the physical and psychical aspects of HRQoL 3 months after ICU discharge in the elderly patients. In addition to factors such as age, prior functional status and severity of illness, family status and educational level seem decisive in the post-ICU HRQoL.Zeggwagh Z, Abidi K, Kettani MNZ, Iraqi A, Dendane T, Zeggwagh AA. Health-related Quality of Life Evaluated by MOS SF-36 in the Elderly Patients 1 Month before ICU Admission and 3 Months after ICU Discharge. Indian J Crit Care Med 2020;24(7):531-538.

Authors & Co-authors:  Zeggwagh Zineb Z Abidi Khalid K Kettani Mohamed Nz MN Iraqi Amina A Dendane Tarek T Zeggwagh Amine Ali AA

Study Outcome 

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Citations :  Azoulay E, Kentish-Barnes N, Pochard F. Health-related quality of life: an outcome variable in critical care survivors. Chest. 2008;133(2):339–341. doi: 10.1378/chest.07-2547. DOI:
Authors :  6
Identifiers
Doi : 10.5005/jp-journals-10071-23489
SSN : 0972-5229
Study Population
Male,Female
Mesh Terms
Other Terms
Elderly;Intensive care unit;MOS SF36;Quality of life
Study Design
Study Approach
Country of Study
Publication Country
India