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Published in: Intensive Care Medicine 12/2004

01-12-2004 | Original

Performance of two measures of general health-related quality of life, the EQ-5D and the RAND-36 among critically ill patients

Authors: Anne Kaarlola, Ville Pettilä, Pertti Kekki

Published in: Intensive Care Medicine | Issue 12/2004

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Abstract

Objective

To compare two health-related quality of life measures, the preference-based EQ-5D with five questions and the profile-based RAND-36 with 36 questions, in previous critically ill patients.

Design

Prospective observational study.

Setting

A ten-bed medical-surgical intensive care unit (ICU) in a tertiary care university hospital.

Patients

Of the 2,709 critically ill patients, treated during the years 1995–2000, the 1,099 patients of the 1,443 still alive who returned both mailed measures were included in the study.

Interventions

None.

Measurements and main results

The EQ-5D and the RAND-36 correlated well (P <.001). Ceiling effect was more obvious with the EQ-5D; the values of the RAND-36 varied usually from 0 to 100 in all the three levels of the corresponding EQ-5D question, and the weakest statistically significant differences were between the EQ levels 2 and 3. In particular, the RAND-36 proved to differentiate better the levels of mobility, self-care, and poor outcome.

Conclusions

The EQ-5D and the RAND-36 correlated well, but when more precisely stated information is needed, especially regarding mobility, self-care, or low quality of life levels of previous critically ill patients, the profile-based RAND-36 may discriminate better.
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Metadata
Title
Performance of two measures of general health-related quality of life, the EQ-5D and the RAND-36 among critically ill patients
Authors
Anne Kaarlola
Ville Pettilä
Pertti Kekki
Publication date
01-12-2004
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 12/2004
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-004-2471-6

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