Iranian Rehabilitation Journal، جلد ۱۵، شماره ۳، صفحات ۰-۰

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عنوان انگلیسی One Year Survival and Quality of Life in Patients Successfully Discharged From Neuro Critical Care Unit
چکیده انگلیسی مقاله 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.
کلیدواژه‌های انگلیسی مقاله Neuro-critical care unit, Survival, Quality of life

نویسندگان مقاله مریم پورصادق فرد | maryam poursadeghfard
motahhari clinic, nemazi square, shiraz, iran


کمال باستانی | kamal bastani
motahhari clinic, nemazi square, shiraz, iran


طاهره پورصادق فرد | tahereh poursadeghfard
department of statistics, islamic azad university, firoozabad branch, fars, iran.

سازمان اصلی تایید شده: دانشگاه آزاد اسلامی علوم و تحقیقات (Islamic azad university science and research branch)

سینا کرمی مقام | sina karamimagham
fasa university of medical sciences, fasa, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی فسا (Fasa university of medical sciences)

صادق ایزدی | sadegh izadi
department of neurology, school of medicine, shiraz university of medical sciences, shiraz, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)


نشانی اینترنتی http://irj.uswr.ac.ir/browse.php?a_code=A-10-610-1&slc_lang=en&sid=en
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