• Ramin I Bukan, Ann M Møller, Mattias A S Henning, Katrine B Mortensen, Tobias W Klausen, and Tina Waldau.
• Herlev University Hospital, Department of Anesthesiology I, Herlev Ringvej 75, 2730 Herlev, Denmark. Electronic address: raminbukan@gmail.com.
• J Crit Care. 2014 Dec 1;29(6):942-7.

PurposeWe sought to investigate whether preadmission quality of life could act as a predictor of mortality among patients admitted to the intensive care unit (ICU).Materials And MethodsThis is a prospective observational study of all patients above the age of 18 years admitted to the ICU with a length of stay longer than 24 hours. Short form 36 (SF-36) and Acute Physiology and Chronic Health Evaluation II (APACHE II) were used. Mortality was assessed during ICU admission, 30, and 90 days hereafter.ResultsWe included 318 patients. No patients were lost to follow-up. Using the physical component summary of short form 12 (SF-12) as a predictor of ICU mortality, the area under the curve (0.70; confidence interval, 0.62-0.77) was comparable with that of APACHE II (0.74; confidence interval, 0.67-0.82). The difference between SF-12 and SF-36 was nonsignificant.ConclusionsPreadmission quality of life, assessed by SF-36 and SF-12, is as good at predicting ICU, 30-, and 90-day mortality as APACHE II in patients admitted to the ICU for longer than 24 hours. This indicates that estimated preadmission quality of life, potentially available in the pre-ICU setting, could aid decision making regarding ICU admission and deserves more attention by those caring for critically ill patients.Copyright © 2014 Elsevier Inc. All rights reserved.

31 keywords...

hide…