- Poster presentation
- Open Access
Long-term outcome and quality of life of patients treated in surgical intensive care: a comparison between sepsis and trauma
Critical Care volume 10, Article number: P423 (2006)
To determine long-term survival and quality of life of patients treated in the SICU due to sepsis or trauma.
An observational study in an 11-bed closed SICU at a 860-bed general hospital during a 1-year period (January 2003-December 2003).
Patients and methods
Patients were divided into two groups according to admission diagnoses: group 1, sepsis or group 2, trauma (polytrauma, multiple trauma, head injury, spinal injury). Quality of life was assessed after 2 years following intensive care admission using the EuroQol 5D (EQ-5D) questionnaire.
A total of 164 patients (66 trauma patients and 98 patients with sepsis) were included in the study. Trauma patients were younger compared with patients with sepsis (53 ± 21 years vs 64 ± 13 years, P < 0.001). There was no statistical significant difference between both groups in APACHE II score and length of stay in the SICU. Trauma patients were hospitalized longer in the general ward (35 ± 44 days vs 17 ± 24 days, P < 001).
SICU survival, hospital survival and 2-year survival were lower in the sepsis group compared with the trauma group (60% vs 74%, 42% vs 62% and 33% vs 57%, respectively, P < 0.05). Long-term mortality of the sepsis and trauma groups were higher compared with the age-matched healthy population (nine times vs six times, respectively).
There was no statistically significant difference in quality of life in all five dimensions of EQ-5D between groups: almost 70% of patients had pains, 62% mobility problems, 50% signs of depression.
Patients with sepsis treated in the SICU have higher short-term and long-term mortality compared with trauma patients. However, quality of life is reduced to the same level in both groups.
About this article
Cite this article
Korosec Jagodic, H., Podbregar, M. Long-term outcome and quality of life of patients treated in surgical intensive care: a comparison between sepsis and trauma. Crit Care 10, P423 (2006). https://doi.org/10.1186/cc4770
- Head Injury
- Trauma Patient
- Statistical Significant Difference
- Healthy Population
- Spinal Injury