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Measuring instruments of quality of life in intensive care units: are the measuring instruments used validated?. Introdução à Medicina II Turma 13. Previously. Key Words : - Intensive Care Unit (ICU) - Quality of Life (QOL) - Measuring instruments of QOL in ICU.
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Measuring instruments of quality of life in intensive care units: are the measuring instruments used validated? Introdução à Medicina II Turma 13
Previously • KeyWords: • - IntensiveCareUnit (ICU) • - QualityofLife (QOL) • - Measuringinstrumentsof QOL in ICU Thelackofstandardizedapproahmakesitextremellydifficult to draw a conclusivepictureoftheirvalueinassessingtheimpactofdifferenttreatmentsinpatients. [1] [1] Maurizio A.Leone, EttoreBeghu, Claudia Righini, Giovanni Apolone, PaoleMosconi. Epilepsy and quality of life in adults: A review of instruments. Epilepsy Res; 2005 Aug-Sep.66(1-3):23-44. Introdução à Medicina II Turma 13
Aims • To findoutwhich are themostusedinstruments for measuring QOL • To describethemostusedmeasuringinstruments • To assessthemeasure´spsychometricrigourintermsofvalidity, reliability, practicalityandresponsiveness Introdução à Medicina II Turma 13
Usingthereferencesoftheincludedarticles, assessthemeasure´spsychometric rigor intermsofvalidity, reliability, practicallyandresponsiveness • Query • SearchMethod • InclusionCriteria • ExclusionCriteria • StudySelection • Data Analysis Searchmethod Query: “Qualityoflife” AND (“IntensiveCare” OR “IntensiveMedicine” OR “CriticalCare”) Instrumentsmostused to measure QOL Introdução à Medicina II Turma 13
Searchoutcome Introdução à Medicina II Turma 13
Searchoutcome PUBMED Includedarticles’ intersection 73 10 16 8 18 ISI SCOPUS Introdução à Medicina II Turma 13
Data abstraction • Information(variables) extractedfromincludedarticles: • Journal(whereitwaspublished) • Publicationyear • Instrument(s)used to measure QOL • Participants – children,adultsorboth • Region • Medicalareaofthestudy Introdução à Medicina II Turma 13
Results Introdução à Medicina II Turma 13
Results Introdução à Medicina II Turma 13
Results Introdução à Medicina II Turma 13
Results Introdução à Medicina II Turma 13
Results Instrument x Region StudiesconductedinEuropeandAmericaused more often SF-36 than EQ-5D. (p(EQ-5D)=0,260 p(SF-36) = 0,103) Introdução à Medicina II Turma 13
Results Introdução à Medicina II Turma 13
Results Age x Region Attentionpaid to childrenandadultsregardingthemeasuringof QOL isthesameregardlessofregion. (p=0,692) Introdução à Medicina II Turma 13
Results Introdução à Medicina II Turma 13
Results MedicalArea x Continent CardiacdiseasewasthemainsubjectofresearchinEurope. InAmerica, researchinrespiratorydiseasewas more relevant (p=0,024). Introdução à Medicina II Turma 13
Comingup... Themostusedinstrumentswillbesubjectoffurtherstudy. Thereferencesofthearticlesincludedwillbeused to assessthemeasurepsychometric’srigourintermsofvalidation, reliability, practicallyandresponsiveness. According to these standards, thedifferentinstrumentswillbeevaluated. So, theaimofthissecondphasewillbe to confirm, whethertheinstrumentsthat are more stringent, are themostused. Introdução à Medicina II Turma 13