ArticleJournal of intensive care medicine2022
Self-perceived recovery and quality of life in elderly patients surviving ICU-admission for abdominal sepsis.
Article in Journal of intensive care medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 12 citations in OpenAlex.
- Impaired Pre-Critical Illness Quality of Life in Elderly ICU Patients.Acta anaesthesiologica Scandinavica · 2026Observational
- Frailty and quality of life in older ICU survivors: a scoping review of assessment tools and methodologies.BMC geriatrics · 2026Article
- Health-related quality of life and functional recovery one year after emergency abdominal surgery in patients over 75 years: a prospective observational study.Frontiers in surgery · 2026Article
- Be-SNAP: the Belgian Sepsis National Action Plan.Frontiers in public health · 2025Article
- Long-stay ICU patients with frailty: mortality and recovery outcomes at 6 months.Annals of intensive care · 2024Article
- Association Between Lactate and 28-Day Mortality in Elderly Patients with Sepsis: Results from MIMIC-IV Database.Infectious diseases and therapy · 2023Article
- Association between geriatric nutritional risk index and 28 days mortality in elderly patients with sepsis: a retrospective cohort study.Frontiers in medicine · 2023Article
- Long-term recovery after critical illness in older adults.Current opinion in critical care · 2022Review
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Authors and funding
8 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionConcern for loss of physical performance and Health-Related Quality of Life (HRQoL) may raise doubts regarding the meaningfulness of an Intensive Care (ICU) admission in elderly patients. We evaluated self-perceived long-term recovery and satisfaction in elderly surviving an abdominal sepsis related ICU-admission and related this to objective measures of HRQoL.
methodsA cross-sectional survey study was performed in all ICU-survivors with age ≥70 admitted with abdominal sepsis. HRQoL, frailty and self-perceived long-term recovery were measured using the EQ-5D-3L, Groningen Frailty Indicator, and a self-developed questionnaire, respectively.
resultsOf 144 patients admitted, 48 were alive at follow up (2.42 [0.92; 3.83] years), and 29 (60%) returned the survey. Eleven patients out of 29 (38%) recovered to baseline functioning, and reported higher HRQoL compared to unrecovered patients (0.861 [0.807; 1.000] and 0.753 [0.499; 0.779] respectively, p=0.005). Of the unrecovered patients, 53% were satisfied with their functioning, and 94% were willing to return to ICU.
conclusionsMortality in elderly patients with abdominal sepsis is high and ICU-admission should be weighed carefully. However, despite substantial functional decline in survivors, it does not necessarily cause self-perceived unsatisfactory functioning, poor HRQoL and unwillingness to receive life-sustaining therapy again. Caution is advised to use an anticipated loss of functioning as an argument to deny an ICU-admission.
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