Apresentação do PowerPoint

Measuring instruments of quality of life in intensivecare units:

are the measuring instruments used validated?

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Key Words:Key Words:

- Intensive Care Unit (ICU)- Intensive Care Unit (ICU)

- Quality of Life (QOL)- Quality of Life (QOL)

- Measuring instruments of QOL in ICU- Measuring instruments of QOL in ICU

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PreviouslyPreviously

lack of standardized approahThe lack of standardized approah makes it extremelly difficultto draw a conclusive picture of their value in assessing the impactof 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 ofinstruments. Epilepsy Res; 2005 Aug-Sep.66(1-3):23-44.[1] Maurizio A.Leone, Ettore Beghu, Claudia Righini, Giovanni Apolone, Paole Mosconi. Epilepsy and quality of life in adults: A review ofinstruments. Epilepsy Res; 2005 Aug-Sep.66(1-3):23-44.

1.To find out which are the most used instruments formeasuring QOL

2.To describe the most used measuring instruments

3.To assess the measure´s psychometric rigour interms of validity, reliability, practicality andresponsiveness

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AimsAims

Using the references of theincluded articles, assess themeasure´s psychometricrigor in terms of validity,reliability, practically andresponsiveness

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1stStage

2ndStage

Instruments most usedto measure QOLInstruments most usedto measure QOL

Search methodSearch 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

1stStage

2ndStage

Search outcomeSearch outcome

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SCOPUS

ISI

PUBMED

Included articles’ intersection

Search outcomeSearch outcome

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Information (variables) extracted from included articles: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

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Data abstractionData abstraction

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ResultsResults

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ResultsResults

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ResultsResults

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ResultsResults

ResultsResults

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Studies conducted in Europe and America used more often SF-36 thanEQ-5D.

(p(EQ-5D)=0,260 p(SF-36) = 0,103)

Instrument x RegionInstrument x Region

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ResultsResults

ResultsResults

Attention paid to children and adults regarding the measuring of QOL isthe same regardless of region. (p=0,692)

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Age x Region

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ResultsResults

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ResultsResults

Cardiac disease was the main subject of research in Europe. InAmerica, research in respiratory disease was more relevant(p=0,024).

Medical Area x ContinentMedical Area x Continent

Coming up...Coming up...

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The most used instruments will be subject of further study. The references ofthe articles included will be used to assess the measure psychometric’s rigourin 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 instrumentsthat are more stringent, are the most used.