A N N A L E S A C A D E M I A E M E D I C A E S T E T I N E N S I S
R O C Z N I K I P O M O R S K I E J A K A D E M I I M E D Y C Z N E J W S Z C Z E C I N I E
2011, 57, 3, 107–117
ELŻBIETA CIESIOŁKIEWICZ, WŁODZIMIERZ MAJEWSKI
DALSZE LOSY I JAKOŚĆ ŻYCIA PACJENTÓW PO ODBYTYM LECZENIU
NA ODDZIALE INTENSYWNEJ OPIEKI MEDYCZNEJ NA PRZYKŁADZIE
ODDZIAŁU INTENSYWNEJ OPIEKI MEDYCZNEJ SPSK NR 2 W SZCZECINIE
FOLLOW UP AND QUALITY OF LIFE OF PATIENTS AFTER TREATMENT
AT THE INTENSIVE CARE UNIT. REPORT FROM THE INTENSIVE
CARE UNIT OF THE SECOND CLINICAL HOSPITAL IN SZCZECIN
Zakład Pielęgniarstwa Chirurgicznego i Ratunkowego Pomorskiego Uniwersytetu Medycznego w Szczecinie
ul. Żołnierska 48, 70 ‑210 Szczecin
Kierownik: dr hab. n. med., prof. PUM Włodzimierz Majewski
Introduction: Treatment of patients at the Intensive Care
Unit (ICU) always requires maximal efforts of the staff and
use of extended resources to save lives and restore health.
Therefore, the assessment of therapeutic efficacy at the ICU
is of great value.
The aim of this study was to assess follow up and the
quality of life of patients after treatment at the Intensive
Care Unit. We chose the Department of Intensive Care
and Anesthesiology with the Acute Intoxication Unit of
the Second Clinical Hospital, Pomeranian Medical Uni‑
versity in Szczecin.
Material and methods: Patients who stayed at the ICU
for at least 14 days in 2002–2007 were qualified and car‑
diac surgery patients were excluded.
Results: Out of 1347 patients treated during this period at
the Department of Intensive Care and Anesthesio logy with
the Acute Intoxication Unit of the Second Clinical Hospital,
Pomeranian Medical University in Szczecin, 809 (60.1%)
were discharged. The mean annual hospital mortality rate
was 104. Eighty patients fulfilled the inclusion criteria. In
this group, 32 (40%) survived until year 2010 when our
study was undertaken; 26 of them (32.5%) were enrolled.
The main part of the study was based on the standardized
questionnaire QLQ ‑C30 (3.0 Polish version). Supplementary
questions addressed personal data, occupation, employment
status, degree of disability, and posthospital rehabilitation.
An attempt was made to assess the quality of medical and
nursing care at the ICU. The results were analyzed statisti‑
cally with Pearson’s r and Kruskal–Wallis tests for correla‑
tions and significance. Out of 26 patients (18 males and 8
females), mean age 56.4 years, mean ICU stay of 29.7 days
(SD ± 22.3 days), hospitalized for acute cardiopulmonary
failure (n = 10; 38.5%), cardiac arrest (n = 9; 34.5%), mul‑
tiple trauma (n = 5; 19%), and intoxication (n = 2; 8%), only
46% survived two years or more after discharge from ICU;
QLQ ‑C30 demonstrated that their health status and qual‑
ity of life was good, albeit worse than of healthy persons.
Conclusions: There were no correlations between self‑
‑assessed health status and quality of life on one side and
age, ICU duration, and time from ICU stay on the other.
The diagnosis had no significant effect on self ‑assessment
of health status and quality of life.
K e y w o r d s: Intensive Care Unit – follow up – qua lity
Wstęp: Leczenie pacjentów na Oddziale Intensywnej
Opieki Medycznej (OIOM) wymaga zawsze maksymal‑
nego wysiłku ze strony zespołu leczącego, zaangażowania
większych środków w ratowanie życia i zdrowia, stąd ocena
efektywności takiego leczenia jest ze wszech miar pożądana.
Celem pracy była ocena wyników odległych i jakości
życia pacjentów po leczeniu na OIOM. Wybrano Oddział