Granja et al identified a number of factors which can help identify a patient who may have a poor health-related quality of life after being treated in the intensive care unit (ICU). This can help identify patients who should be evaluated more carefully for possible interventions. The authors are from the University of Oporto and several hospitals in Portugal.


Factors that can be identified on admission or during the ICU stay:

(1) older age

(2) longer ICU stay

(3) higher SAP II score

(4) non-scheduled surgery

(5) multiple trauma

(6) dreams and nightmares during ICU stay

(7) significant stressors during ICU stay



• Several of these factors related to higher severity of disease at ICU admission (longer ICU stay, high SAP II score).

• The criteria for older age was not specified. For the implementation I will use > 60 years of age.


Factors that may be reported after discharge:

(1) disturbed sleep

(2) daily dreams and nightmares

(3) difficulty concentrating

(4) difficulty remembering (memory lapses)

(5) amnesia about ICU stay

(6) fatigue and/or failure to fully recover to pre-admission level of activity



• The evaluation after discharge was done at 6 months. The goal is to identify persistent problems rather than transient reactions.


The presence of multiple factors can help identify a patient who may benefit from a more in-depth evaluation and targeted interventions.


To read more or access our algorithms and calculators, please log in or register.