Qualidade de vida de pacientes sobreviventes a sepse, sepse grave e choque séptico avaliada por meio de duas escalas
DOI:
https://doi.org/10.33233/fb.v15i4.360Abstract
Introdução: As disfunções causadas pela sepse são responsáveis pela alta mortalidade e por longos períodos de hospitalização. A análise da qualidade de vida vem sendo usada como medida relevante em pacientes sobreviventes í sepse, sepse grave e choque séptico. Objetivo: Verificar se existe na literatura um perfil ou padrão na Qualidade de Vida (QV) de pacientes sobreviventes a essa condição, delineado pela aplicação das escalas Short Form-36 (SF-36) e European Quality of Life-5 Dimensions (EQ-5D). Método: Revisão integrativa da literatura para avaliar a QV de pacientes sobreviventes a essa condição, do período 2003 até 2013. Resultados: A maioria dos estudos encontrou diminuição nas pontuações ou surgimentos de maiores problemas após a alta hospitalar, comparados com os pacientes que não desenvolveram sepse ou com a população em geral, e aumento da mortalidade ao longo do tempo. Conclusão: Não há um consenso entre as escalas aplicadas. Mais estudos que apliquem algum tipo de escala e/ou questionário de mensuração nesses pacientes são necessários.
Palavras-chave: qualidade de vida, sepse, escala de avaliação.
References
Schefold JC, Bierbrauer J, Weber-Carstens S. Intensive care unit-acquired weakness (ICUAW) and muscle wasting in critically ill patients with severe sepsis and septic shock. J Cachexia Sarcopenia Muscle 2010;1(2):147-57.
Lazosky A, Young GB, Zirul S, Phillips R. Quality of life after septic illness. J Crit Care 2010;25(3):406-12.
Klein Klouwenberg PM, Ong DS, Bonten MJ, Cremer OL. Classification of sepsis, severe sepsis and septic shock: the impact of minor variations in data capture and definition of SIRS criteria. Intensive Care Med 2012;38(5):811-9.
Surviving Sepsis Campaign (SSC). About Sepsis. [citado 2013 Jul 20]. DisponÃvel em: URL: http://www.survivingsepsis.org/Introduction/Pages/default.aspx.
Batista RS, Gomes AP, Lima LC, Vitorino RR, Perez MCA, Mendonça EG, et al. Sepse: Atualidades e perspectivas. Rev Bras Ter Intensiva 2011;23(2):207-16.
Karlsson K, Ruokonen E, Varpula T, Ala-Kokko TI, Pettila V. Long-term outcome and quality-adjusted life years after severe sepsis. Crit Care Med 2009;37(4):1268-74.
Hall TC, Bilku DK, Al-Leswas D, Horst C, Dennison AR. The difficulties of clinical trials evaluating therapeutic agents in patients with severe sepsis. Ir J Med Sci 2012;181(1):1-6.
Jagodic HK, Jagodic K, Podbregar M. Long-term outcome and quality of life of patients treated in surgical intensive care: a comparison between sepsis and trauma. Crit Care 2006;10(5):134.
Hofhuis JGM, Spronk PE, Stel HFV, Schrijvers AJP, Rommes JH, Bakker J. The impact of severe sepsis on health-related quality of life: a long-term follow-up study. Anesth Analg 2008;107(6):1957-64.
Pettilä V, Kaarlola A, Mäkeläinen A. Health-Related quality of life of multiple organ dysfunction patients one year after intensive care. Intensive Care Med 2000;26(10):1473-9.
Vincent JL, Sakr Y, Sprung CL, Ranieri VM, Reinhart K, Gerlach H et al. Sepsis in European intensive care units: Results of the SOAP study. Crit Care Med 2006;34:344-53.
Marik PE. Surviving sepsis: going beyond the guidelines. Ann Intensive Care 2011;1(1):17.
Moerer O, Schmid A, Hofmann M, Herklotz A, Reinhart K, Werdan K et al. Direct costs of severe sepsis in three German intensive care units based on retrospective electronic patient record analysis of resource use. Intensive Care Med 2002;28(10):1440-46.
Levy MM, Dellinger RP, Townsend SR, Linde-Zwirble WT, Marshall JC, Bion J, et al. Surviving Sepsis Campaign: results of an international guideline-based performance improvement program targeting severe sepsis. Intensive Care Med 2010;36(2):222-31.
Granja C, Dias C, Costa-Pereira A, Sarmento A. Quality of life of survivors from severe sepsis and septic shock may be similar to that of others who survive critical illness. Critical Care 2004;8:91-98.
The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 1995;41(10):1403-9.
Dowdy DW, Eid MP, Sedrakyan A, Mendez-Tellez PA, Pronovost PJ, Herridge MS et al. Quality of life in adult survivors of critical illness: a systematic review of the literature. Intensive Care Med 2005;31:611-20.
CIF: Classificação Internacional de Funcionalidade, Incapacidade e Saúde. Organização Mundial de Saúde (OMS)/Organização Panamericana de Saúde (OPAS). São Paulo: Universidade de São Paulo; 2003.
Heyland DK, Hopman W, Coo H, Tranmer J, McColl MA. Long-term health-related quality of life in survivors of sepsis. Short Form 36: A valid and reliable measure of health-related quality of life. Crit Care Med 2000;28(11):3599-605.
Longo CJ, Heyland DK, Fisher HN, Fowler RA, Martin CM, Day AG. A long-term follow-up study investigating health-related quality of life and resource use in survivors of severe sepsis: comparison of recombinant human activated protein C with standard care. Critical Care 2007;11(6):R128.
Conselho Federal de Fisioterapia e Terapia Ocupacional. Fisioterapia/Definição. [citado 2013 Jul 20]. DisponÃvel em: URL: http://www.coffito.org.br/conteudo/con_view.asp?secao=27.
Westphal GA, Vieira KD, Orzechowski R, Kaefer KM, Zaclikevis VR, Mastoeni MF. Analysis of quality of life following hospital discharge among survivors of severe sepsis and septic shock. Rev Panam Salud Public 2012;31(6):499-505.
Poulsen JB, Moller K, Kehlet H, Perner A. Long-term physical outcome in patients with septic shock. Acta Anaesthesiol Scand 2009;53:724-30.
Herridge MS, Cheung AM, Tansey CM, Matte-Martyn A, Diaz- Granados N, Al-Saidi F et al. One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J Med 2003;348:683-93.
Van Hees HWH, Schellekens Willem-Jan M , Linkels M, Leenders F, Zoll J, Donders R et al. Plasma from septic shock patients induces loss of muscle protein. Critical Care 2011;15:233.
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