Gepubliceerd in:
31-10-2023
Lower quality of life in obese ICU survivors: a multicenter cohort study
Auteurs: Mirceli Goulart Barbosa, Daniel Sganzerla, Adriana Cristine Koch Buttelli, Cassiano Teixeira
Gepubliceerd in: Quality of Life Research | Uitgave 2/2024
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Abstract
Purpose
To compare health-related quality of life (HRQoL) and functional status between obese, underweight, normal-weight, and overweight patients after three months post-intensive care unit (ICU) discharge.
Methods
Multicenter cohort study (10 Brazilian ICUs). 1600 ICU survivors (≥ 72 h in the ICU) were included.The main outcomes were HRQoL and functional status assessed three months after the ICU discharge. The secondary outcomes were mortality, hospital readmission, and ICU readmission during the same period.
Results
Obese patients (median 50.1; IQR 39.6–59.6) had lower HRQoL in the mental component than normal-weight patients (median 53; IQR 45.6–60.1) (p = 0.033). No differences were found between BMI categories regarding the physical component of HRQoL and the Barthel Index (p = 0.355 and 0.295, respectively). Regarding readmissions, 65.1 and 25.1% of patients were readmitted to the hospital and ICU, but there was no difference between the groups (p = 0.870 and 0.220, respectively). Obese patients died less frequently (11.8%) than underweight (30.9%) and normal-weight (19.3%) patients (p < 0.001).
Conclusion
After three months of post-ICU discharge, obese patients had lower HRQoL in the mental component than normal-weight patients. However, obese patients died less than underweight and normal-weight patients.
