Abstract Introduction Patient-reported measures (PROMs) play a fundamental role in value-based healthcare by promoting patient-centered strategies. These outcomes remain understudied among survivors of an intensive care unit (ICU) stay. Understanding this perspective could guide the development of value-oriented rehabilitation and treatment strategies. Our study explored physical, psychological, social and economic well-being dimensions as PROMs in ICU survivors who underwent mechanical ventilation for respiratory disease. Methods A descriptive cross-sectional study was conducted in 52 ICU survivors evaluated 6-12 months post-discharge. The SF-36 questionnaire was administered, and participants identified the well-being dimension they considered most relevant for their recovery, as well as their perception of economic burden. Differences were analyzed by sex and age (65 vs ≥ 65 years). The correlation between healthcare-related expenses and the general health domain of the SD-36 was assessed using Spearmańs correlation coefficient (ρ). Results The mean age was 52± 2.2 years; 48.1% were men and 69.2% were 65 years old. Half of the participants (50%) reported being employed, 30% retired and 19% had no income or were financially dependent on others. Seventy percent reported increased out-of-pocket expenses after ICU discharge. Well-being priorities were distributed as follows: Men: economic 50%, physical 25%, psychological 16.7%, social 8.3%. Women: physical 38.5%, psychological 38.5%, economic 19.2%, social 3.9%. ≥ 65 years: physical 60%, psychological 20%, social 13.3% economic 6.7%. 65 years: physical 37.1%, psychological 31.4%, economic 28.6%, social 2.9%. A moderate to strong negative correlation was observed between perceived healthcare expenses and the General Health domain of the SF-36 (ρ = -5.73; p 0.01; n = 52), indicating that higher financial burden was associated with poorer perceived global health. Conclusions Post-ICU well-being priorities differ by sex and age. Men emphasized economic stability, women prioritized physical and emotional well-being, and older adults valued physical autonomy. Integrating these patient perspectives into post-ICU care reinforces value-based healthcare and highlights the relevance of PROMs as tools for individualized, patient-centered recovery (Value Health, 2022; Lancet Respir Med 2021). This abstract is funded by: None
Morales et al. (Fri,) studied this question.