Journal article
Long-term health-related quality of life of adult patients treated with extracorporeal membrane oxygenation (ECMO): An integrative review
Heart & lung, Vol.48(6), pp.538-552
11/2019
DOI: 10.1016/j.hrtlng.2019.08.016
PMID: 31711573
Abstract
Background: Extracorporeal membrane oxygenation (ECMO), a rescue treatment for patients with severe pulmonary and/or cardiac dysfunction, is increasingly being used worldwide. A better understanding of long-term health-related quality of life (HRQOL) is needed. Objective: To synthesize research on long-term (at least 6 months post-ECMO) HRQOL of adults treated with ECMO. Methods: In this integrative review, we searched 3 electronic databases and did a hand search of relevant journals for articles published 2000–2019, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: Thirty-one studies, representing 913 patients treated with ECMO, were included. Long-term HRQOL was slightly better for patients treated with veno-venous ECMO than veno-arterial ECMO, and mental health outcomes tended to be better than physical ones. Survivors frequently experienced physical complications, functional limitations, anxiety, depression, and post-traumatic stress symptoms, although improvements were observed over time. Conclusions: Early identification and management of physical and mental health problems may improve HRQOL outcomes.
Details
- Title: Subtitle
- Long-term health-related quality of life of adult patients treated with extracorporeal membrane oxygenation (ECMO): An integrative review
- Creators
- Krista A. Knudson - Yale UniversityCarolina M. Gustafson - Emory UniversityLois S. Sadler - Yale UniversityRobin Whittemore - Yale UniversityNancy S. Redeker - Yale UniversityLaura K. Andrews - Yale UniversityAbeel Mangi - Yale UniversityMarjorie Funk - Yale University
- Resource Type
- Journal article
- Publication Details
- Heart & lung, Vol.48(6), pp.538-552
- DOI
- 10.1016/j.hrtlng.2019.08.016
- PMID
- 31711573
- NLM abbreviation
- Heart Lung
- ISSN
- 0147-9563
- eISSN
- 1527-3288
- Publisher
- Elsevier Inc
- Number of pages
- 15
- Language
- English
- Date published
- 11/2019
- Academic Unit
- Nursing
- Record Identifier
- 9984966694102771
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