How Does Health-Related Quality of Life Change Over Time in Cancer Survivors Following an Admission to the Intensive Care Unit? An Integrative Review

Shalyn Rourke, Catherine Paterson

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Cancer survivors account for 15% to 20% of all intensive care unit (ICU) admissions. In general ICU populations, patients are known to experience reduced health-related quality of life (HRQoL). However, little is known about HRQoL impacts among cancer survivors following a critical illness in ICU.

Objective: The aim of this study was to critically synthesize the evidence to further understand the impact of a critical illness and ICU admission in cancer survivors.

Methods: An integrative review was conducted and reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta analysis) guidelines. Three electronic databases were searched (MEDLINE, CINAHL, and EMBASE) using keywords and Boolean logic. Quality
appraisal, data extraction, and a narrative synthesis were completed for all included studies by 2 reviewers.

Results: Eleven publications met inclusion criteria. Health-related quality-of-life domains most frequently reported in cancer survivors after discharge from ICU included the following: physical function limitations, physical symptoms, and anxiety/depression.

Conclusions: Health-related quality of life decreased immediately after the admission to ICU with a gradual increase in the 3 to 12 months following.
Original languageEnglish
Pages (from-to)100-111
Number of pages12
JournalCancer Nursing
Volume47
Issue number2
Early online date1 Dec 2022
DOIs
Publication statusPublished - 1 Mar 2024
Externally publishedYes

Keywords

  • Cancer survivors
  • Health-related quality of life
  • Integrative review
  • Intensive care

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