24 CHAPTER 2 In conclusion, characteristics commonly used to predict outcome in ICU- patients lack sufficient prognostic value when it comes to long-term physical recovery. The paucity of predictors makes the identification of subgroups which fail to recover problematic. An integrative assessment of HRQoL has the potential to unravel the complexity of non-recovery in ICU-survivors. In this study we aimed to assess the patient-reported incidence of non-recovery in long-stay ICU-patients. Furthermore, factors in relation to various points in time (from baseline to 3-months post ICU-discharge) were considered for long-term (1-year) non-recovery. 2.2 MATERIALS AND METHODS 2.2.1 Study population This retrospective, single-centre study was performed in a tertiary teaching hospital with a closed-format ICU. Local protocol dictates that all ICU-patients with an LOS ICU ≥48 hours receive an invitation for the specialised post-ICU clinic at 3-months after ICU-discharge. In line with this protocol, patients fill in an HRQoL-questionnaire and return it before their visit. At 12-months, patients repeat the questionnaire and return by mail. Data from all patients admitted to the ICU between 2012 and 2018 who completed and returned the questionnaire were retrieved for this study. Data of patients who did not survive until the Figure 1. Flowchart of retrieved study data. Received invitation specialized post-ICU clinic (n=591) • Unable/unwilling to visit clinic (n=315) • Deceased before follow-up (n=23) • Incomplete questionnaire at 12 months (n=3) Analysed (n=250) Data retrieval Analysis
RkJQdWJsaXNoZXIy MjY0ODMw