Experience of Staying in Intensive Care and Impact on Quality of Life

University Hospital, Strasbourg, France40 enrolled

Overview

It now seems well established that post-traumatic stress disorder following a stay in intensive care is one of the factors that affects patients' quality of life after they leave hospital. Several qualitative and quantitative studies suggest that there are several factors associated with the onset of this post-traumatic stress disorder, including the absence of memory of the stay in intensive care. With this in mind, some intensive care units (in France and abroad) are implementing measures to improve the patient experience during their stay, particularly to compensate for this lack of memory: several studies show a link between the introduction of intensive care unit logbooks and a decrease in the incidence of post-traumatic stress disorder after returning home. The aim of this research project is to measure the experience of the stay in intensive care and its possible impact on quality of life. It is therefore part of a process of implementing measures within general and cardiovascular surgical intensive care units, aimed at better assessing and improving the quality of life of patients after a stay in intensive care.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Post-traumatic Stress Disorder

Eligibility

Sex: ALLMin age: 18 Months

Medical Language ↔ Plain English

Inclusion Criteria: * Adult patient (≥ 18 years) * Stay in intensive care \> 48 hours Exclusion Criteria: * Admission to intensive care following scheduled surgery. * Readmission to intensive care (previous admission within the 30 days prior). * Patient under legal guardianship * Inability to complete a questionnaire * Poor reading and/or speaking comprehension of French * Patient under guardianship or conservatorship.

Outcomes

Primary Outcomes

ICE questionnaire score

ICE (Impact Confidence Experience) questionnaire score: The scores for each letter (I, C, E) are added together or averaged. The higher the score, the better. This indicates a positive experience, trust, and a significant impact. Simple example: * Impact = 8/10 → The service was very helpful. * Trust = 9/10 → I trust this team. * Experience = 7/10 → My experience was quite good. Average ICE score = (8 + 9 + 7) ÷ 3 = 8/10

Time frame: Between 1 and 3 days after discharge from the intensive care unit.

Quality of life questionnaire score (SF36)

The SF-36 is a health questionnaire consisting of 36 questions. Each dimension receives a score from 0 to 100: * 100 = very good quality of life * 0 = very poor quality of life

Time frame: Day 30 after discharge from hospital