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Acute critically ill elderly patients: What about long term caregiver burden?

Abstract : Purpose: Acute critical illness induce a high caregivers burden in the young population, however data in the older population are lacking. The objectives of this study were to evaluate caregiver burden in a critically ill old population and to assess factors associated with mild to severe burden level. Materials and methods: All patients from two participating centers of the ICE-CUB 2 trial were included in the study. Inclusion criteria were an age ≥75, at least one critical condition and preserved functional status. The primary endpoint was a Zarit Burden Interview (ZBI) ≥ 21 at 6 months. Results: One hundred ninety-one patients (median age 86 [81-89] years) were included. Median caregiver ZBI at 6 months was 13 [5-27]. In the multivariate analysis, factors significantly associated with moderate to severe burden were the 6-month ADL decrease (OR: 1.3, p = .049) and the 6-month mental component of the quality of life score (OR: 0.94, p = .0009). In contrast, age, ICU admission and length of hospital stay were not associated with moderate to severe load. Conclusion: In our study, functional status and mental health at 6 months were associated with mild to severe burden unlike age and admission in ICU.
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Submitted on : Wednesday, July 20, 2022 - 3:18:10 PM
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Hélène Vallet, Laura Moïsi, Caroline Thomas, Bertrand Guidet, Ariane Boumendil. Acute critically ill elderly patients: What about long term caregiver burden?. Journal of Critical Care, WB Saunders, 2019, 54, pp.180 - 184. ⟨10.1016/j.jcrc.2019.08.028⟩. ⟨hal-03487813⟩

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