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Intensive care
Protocol
Assessment of quality of life for frail, elderly patients post-ICU discharge: a protocol for a scoping review
  1. Gunhild Kjaergaard-Andersen1,2,
  2. Eithne Hayes Bauer2,3,
  3. Rajesh Prabhakar Bhavsar1,3,
  4. Hanne Irene Jensen2,4,
  5. Linda Juel Ahrenfeldt5,
  6. Niels Christian Hvidt5,
  7. Thomas Stroem1,2
  1. 1Anaesthesiology and Intensive Care Research Unit, University Hospital of Southern Denmark, Soenderjylland, Aabenraa, Denmark
  2. 2Department of Regional Health Research, University of Southern Denmark, Odense, Syddanmark, Denmark
  3. 3Internal Medicine Research Unit, University Hospital of Southern Denmark, Soenderjylland, Soenderborg, Denmark
  4. 4Department of Anaesthesiology and Intensive Care, Lillebaelt Hospita, University Hospital of Southern Denmark, Kolding, Syddanmark, Denmark
  5. 5Department of Public Health, University of Southern Denmark, Odense, Denmark
  1. Correspondence to Dr Gunhild Kjaergaard-Andersen; gunhild.kjaergaard-Andersen2{at}rsyd.dk

Abstract

Introduction Rises in average life expectancy, increased comorbidities and frailty among older patients lead to higher admission rates to intensive care units (ICU). During an ICU stay, loss of physical and cognitive functions may occur, causing prolonged rehabilitation. Some functions may be lost permanently, affecting quality of life (QoL). There is a lack of understanding regarding how many variables are relevant to health-related outcomes and which outcomes are significant for the QoL of frail, elderly patients following discharge from the ICU. Therefore, this scoping review aims to identify reported variables for health-related outcomes and explore perspectives regarding QoL for this patient group.

Methods and analysis The Joanna Briggs Institute guidelines for scoping reviews will be employed and original, peer-reviewed studies in English and Scandinavian languages published from 2013 to 2023 will be included. The search will be conducted from July 2023 to December 2023, according to the inclusion criteria in Embase, MEDLINE, PsycINFO and CINAHL. References to identified studies will be hand-searched, along with backward and forward citation searching for systematic reviews. A librarian will support and qualify the search strategy. Two reviewers will independently screen eligible studies and perform data extraction according to predefined headings. In the event of disagreements, a third reviewer will adjudicate until consensus is achieved. Results will be presented narratively and in table form and discussed in relation to relevant literature.

Ethics and dissemination Ethical approval is unnecessary, as the review synthesises existing research. The results will be disseminated through a peer-reviewed publication in a scientific journal.

  • Quality of Life
  • Adult intensive & critical care
  • Patient Reported Outcome Measures
  • Aged
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi-org.ezproxy.u-pec.fr/10.1136/bmjopen-2023-076494

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    Footnotes

    • Twitter @nchvidt

    • PContributors The scoping review was planned and conceived by GKA, EHB, RPB, HIJ, LJA, NCH and TS. GKA and RPB were responsible for the initial search. GKA was responsible for the design used throughout the manuscript and the drafting and reporting of the protocol manuscript. EHB, RPB, LJA, HIJ and TS have contributed to developing the protocol manuscript with supervision and critical revision. EHB, a native English speaker, has proofread the manuscript. All authors (GKA, EHB, RPB, HIJ, LJA, NCH and TS) have approved the final draft of the manuscript.

    • Funding This work was supported financially by the Fabrikant Mads Clausen Foundation (grant number: p-15199).

    • Disclaimer They do not influence the research or the manuscript.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.