How does health-related quality of life change over time in cancer survivors following an admission to the Intensive Care Unit? An integrative review.

Rourke, Shalyn; Paterson, Catherine

Abstract

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. 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. 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. 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. Health-related quality of life decreased immediately after the admission to ICU with a gradual increase in the 3 to 12 months following. Cancer survivors are vulnerable to physical limitations, pain, and social isolation after an admission to ICU. Cancer survivors who have been affected by a critical illness are at risk of reduced HRQoL after an admission to ICU. This integrative review will help clinicians and researchers to develop patient-centered models of care during the recovery of critical illness, which are currently lacking in service delivery.

Citation

ROURKE, S. and PATERSON, C. 2024. How does health-related quality of life change over time in cancer survivors following an admission to the Intensive Care Unit? An integrative review. Cancer nursing [online], 47(2), pages 100-111. Available from: https://doi.org/10.1097/NCC.0000000000001157

• Journal Article Type: Article
• Acceptance Date: May 24, 2022
• Online Publication Date: Sep 6, 2022
• Publication Date: Apr 30, 2024
• Deposit Date: Oct 7, 2022
• Publicly Available Date: Sep 7, 2023
• Journal: Cancer nursing
• Print ISSN: 0162-220X
• Electronic ISSN: 1538-9804
• Publisher: Lippincott, Williams & Wilkins
• Peer Reviewed: Peer Reviewed
• Volume: 47
• Issue: 2
• Pages: 100-111
• DOI: https://doi.org/10.1097/NCC.0000000000001157
• Keywords: Cancer survivors; Health-related quality of life; Integrative review; Intensive care
• Public URL: https://rgu-repository.worktribe.com/output/1757872