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Health-Related Quality of Life : An Outcome Variable in Critical Care Survivors

Élie Azoulay, MD, PhD; Nancy Kentish-Barnes, PhD; Frédéric Pochard, MD, PhD
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Paris, France

Correspondence to: Élie Azoulay, MD, PhD, Service de Réanimation Médicale, Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010 Paris, France; e-mail: elie.azoulay@sls.ap-hop-paris.fr



Chest. 2008;133(2):339-341. doi:10.1378/chest.07-2547
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Because critical care clinicians are nourished by the culture of survival, until recently they have prioritized patient survival to long-term outcome. However, a number of ICU patients experience significant problems with physical, psychological, and social functioning for some time after discharge from the ICU. In addition to mortality, health-related quality of life (HRQOL) has increasingly been claimed as an important and entire outcome variable of interest.1 Quality of life is constituted, but not restricted, by the sum of values themselves difficult to assess, such as cognitive, affective, and spiritual capacity of a person, and submitted to social, psychological, cultural, familial, relational, and individual factors. The quality of life applied to health, or HRQOL, takes into account not all dimensions of the quality of life, but those that can be changed by the disease or its treatment.

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