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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.

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Presentation on theme: "Measuring instruments of quality of life in intensive care units: are the measuring instruments used validated? Introdução à Medicina II Turma 13."— Presentation transcript:

1 Measuring instruments of quality of life in intensive care units: are the measuring instruments used validated? Introdução à Medicina II Turma 13

2 Key Words: - Intensive Care Unit (ICU) - Quality of Life (QOL) - Measuring instruments of QOL in ICU Introdução à Medicina II Turma 13 Previously lack of standardized approah The lack of standardized approah makes it extremelly difficult to draw a conclusive picture of their value in assessing the impact of different treatments in patients. [1] [1] Maurizio A.Leone, Ettore Beghu, Claudia Righini, Giovanni Apolone, Paole Mosconi. Epilepsy and quality of life in adults: A review of instruments. Epilepsy Res; 2005 Aug-Sep.66(1-3):23-44.

3 1.To find out which are the most used instruments for measuring QOL 2.To describe the most used measuring instruments 3.To assess the measure´s psychometric rigour in terms of validity, reliability, practicality and responsiveness Introdução à Medicina II Turma 13 Aims

4 Using the references of the included articles, assess the measure´s psychometric rigor in terms of validity, reliability, practically and responsiveness Introdução à Medicina II Turma 13 1 st Stage 2nd Stage Instruments most used to measure QOL Search method Query: “Quality of life” AND (“Intensive Care” OR “Intensive Medicine” OR “Critical Care”) Query Search Method Inclusion Criteria Exclusion Criteria Study Selection Data Analysis 1 st Stage 2 nd Stage

5 Search outcome Introdução à Medicina II Turma 13

6 18 8 16 10 73 SCOPUSISI PUBMED Included articles’ intersection Search outcome Introdução à Medicina II Turma 13

7 Information (variables) extracted from included articles: Journal (where it was published) Publication year Instrument(s) used to measure QOL Participants – children, adults or both Region Medical area of the study Introdução à Medicina II Turma 13 Data abstraction

8 Introdução à Medicina II Turma 13 Results

9 Results

10 Results

11 Results

12 Results Studies conducted in Europe and America used more often SF-36 than EQ-5D. (p(EQ-5D)=0,260 p(SF-36) = 0,103) Instrument x Region

13 Introdução à Medicina II Turma 13 Results

14 Results Attention paid to children and adults regarding the measuring of QOL is the same regardless of region. (p=0,692) Introdução à Medicina II Turma 13 Age x Region

15 Introdução à Medicina II Turma 13 Results

16 Results Cardiac disease was the main subject of research in Europe. In America, research in respiratory disease was more relevant (p=0,024). Medical Area x Continent

17 Coming up... Introdução à Medicina II Turma 13 The most used instruments will be subject of further study. The references of the articles included will be used to assess the measure psychometric’s rigour in terms of validation, reliability, practically and responsiveness. According to these standards, the different instruments will be evaluated. So, the aim of this second phase will be to confirm, whether the instruments that are more stringent, are the most used.


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