Long term health-related quality of life in survivors of sepsis in South West Wales: an epidemiological study.

INTRODUCTION: Survivors of sepsis report persistent problems that can last years after hospital discharge. The main aim of this study was to investigate long-term health-related quality of life in survivors of SIRS and sepsis compared with Welsh normative data, controlling for age, length of stay an...

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Main Authors: Ceri E Battle, Gareth Davies, Phillip A Evans
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4280200?pdf=render
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author Ceri E Battle
Gareth Davies
Phillip A Evans
author_facet Ceri E Battle
Gareth Davies
Phillip A Evans
author_sort Ceri E Battle
collection DOAJ
description INTRODUCTION: Survivors of sepsis report persistent problems that can last years after hospital discharge. The main aim of this study was to investigate long-term health-related quality of life in survivors of SIRS and sepsis compared with Welsh normative data, controlling for age, length of stay and pre-existing conditions. The second aim was to investigate any differences in long-term health-related quality of life specifically with the patients categorised into three groups; SIRS, uncomplicated sepsis and severe sepsis/septic shock. METHODS: A prospective study design was used in order to investigate all sepsis patients either presenting to the Emergency Department or admitted to the Intensive Care Unit of a regional trauma centre. Baseline demographics, clinical characteristics and outcomes were collected and surviving patients were sent a SF-12v2 survey at between six months to two years post-hospital discharge. RESULTS: Quality of life was significantly reduced in all patients when compared to local normative data (all p<0.0001). Reductions in the physical components of health-related quality of life were more pronounced in severe sepsis/septic shock patients when compared to uncomplicated sepsis and SIRS patients, when controlling for age, pre-existing conditions, hospital and ICU length of stay. CONCLUSIONS: This is the first observational study to specifically focus on the different groups of SIRS and sepsis patients to assess long-term quality of life. Local population norms were used for comparison, rather than UK-wide norms that fail to reflect the intricacies of a country's population.
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spelling doaj.art-d9a27d06c51d46328424035f68618ea62022-12-22T02:36:05ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01912e11630410.1371/journal.pone.0116304Long term health-related quality of life in survivors of sepsis in South West Wales: an epidemiological study.Ceri E BattleGareth DaviesPhillip A EvansINTRODUCTION: Survivors of sepsis report persistent problems that can last years after hospital discharge. The main aim of this study was to investigate long-term health-related quality of life in survivors of SIRS and sepsis compared with Welsh normative data, controlling for age, length of stay and pre-existing conditions. The second aim was to investigate any differences in long-term health-related quality of life specifically with the patients categorised into three groups; SIRS, uncomplicated sepsis and severe sepsis/septic shock. METHODS: A prospective study design was used in order to investigate all sepsis patients either presenting to the Emergency Department or admitted to the Intensive Care Unit of a regional trauma centre. Baseline demographics, clinical characteristics and outcomes were collected and surviving patients were sent a SF-12v2 survey at between six months to two years post-hospital discharge. RESULTS: Quality of life was significantly reduced in all patients when compared to local normative data (all p<0.0001). Reductions in the physical components of health-related quality of life were more pronounced in severe sepsis/septic shock patients when compared to uncomplicated sepsis and SIRS patients, when controlling for age, pre-existing conditions, hospital and ICU length of stay. CONCLUSIONS: This is the first observational study to specifically focus on the different groups of SIRS and sepsis patients to assess long-term quality of life. Local population norms were used for comparison, rather than UK-wide norms that fail to reflect the intricacies of a country's population.http://europepmc.org/articles/PMC4280200?pdf=render
spellingShingle Ceri E Battle
Gareth Davies
Phillip A Evans
Long term health-related quality of life in survivors of sepsis in South West Wales: an epidemiological study.
PLoS ONE
title Long term health-related quality of life in survivors of sepsis in South West Wales: an epidemiological study.
title_full Long term health-related quality of life in survivors of sepsis in South West Wales: an epidemiological study.
title_fullStr Long term health-related quality of life in survivors of sepsis in South West Wales: an epidemiological study.
title_full_unstemmed Long term health-related quality of life in survivors of sepsis in South West Wales: an epidemiological study.
title_short Long term health-related quality of life in survivors of sepsis in South West Wales: an epidemiological study.
title_sort long term health related quality of life in survivors of sepsis in south west wales an epidemiological study
url http://europepmc.org/articles/PMC4280200?pdf=render
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AT phillipaevans longtermhealthrelatedqualityoflifeinsurvivorsofsepsisinsouthwestwalesanepidemiologicalstudy