Volume 15, Issue 3 (September 2017)                   IRJ 2017, 15(3): 249-258 | Back to browse issues page

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Poursadeghfard M, Bastani K, Poursadeghfard T, Karamimagham S, Izadi S. One Year Survival and Quality of Life in Patients Successfully Discharged From Neuro Critical Care Unit. IRJ. 2017; 15 (3) :249-258
URL: http://irj.uswr.ac.ir/article-1-726-en.html

1- Assistant professor Clinical Neurology Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
2- Neurologist Department of Neurology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
3- Instructor of Statistics Department of Statistics, School of Mathematics and Statistics, Firooz Abad branch, Islamic Azad University, Shiraz, Iran.
4- Assistant Professor Department of Pediatrics, School of Medicine, Fasa University of Medical Sciences, Fasa, Iran.
5- MD Clinical Neurology Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Abstract:   (368 Views)

Objectives: Neuro-critical Intensive Care Units (NICUs) have functioned to deliver intensive medical care services for patients with acute neurology problems. However, physicians and ICU staff do not have any feedback about their patients and their abilities after successful discharge. Various studies have documented short-term survival in ICUs, but the long-term outcome and quality of life (QOL) are less studied.
Methods: This is a retrospective cohort study over a period of one year from February 2011 to February 2012 (Shiraz, South of Iran). Patients' charts were used to collect the data. Survival and QOL after one year following NICU admission were assessed for surviving patients by a telephone interview with patients or their family members using Karnofsky Performance Scale (KPS). 
Results: Out of 93 patients, 42(45.2%) were male, and 51(54.8%) were female. Malignant ischemic stroke (34%) was the most common cause followed by Guillain Barre Syndrome (21%). Among the living successfully discharged patients, 45% were able to perform normal activity and work without any special assistance. The patients who were unable to work were 28%, but they were able to live at home and care for their most personal needs. The patients who were unable to care for themselves were 3% and required institutional or hospital care. Over one year following discharge, 24% patients were passed away.
Discussion: is lower in NICU survivors compared with general population; however, if patients' selection and out of hospital care are done appropriately and continuously, more patients can live independently or even come back to their work. Indeed, it is important to identify patients who benefit more from NICU during decision making for ICU admission. As a result, more efficient rehabilitation could be achieved in the future. However, our conclusions are only related to our ward and do not apply to the total population of critical neurology patients.

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Type of Study: Original Research Articles | Subject: Clinical sciences
Received: 2017/06/20 | Accepted: 2017/07/30 | Published: 2017/10/2

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