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Long-term survival after ICU treatment
I A Meynaar1, M Van Den Boogaard, P L Tangkau
1Intensive Care Unit, Reinier de Graaf Hospital, The Netherlands. iwanmeynaar@gmail.com
Minerva Anestesiologica
|October 4, 2012
Summary
Patients surviving Intensive Care Unit (ICU) treatment face a significant one-year mortality risk, comparable to in-hospital risks. This risk escalates with patient age and ICU admission severity.
Area of Science:
- Critical Care Medicine
- Public Health
- Geriatric Medicine
Background:
- Long-term survival post-Intensive Care Unit (ICU) admission is a critical area of research.
- Understanding post-discharge mortality is essential for comprehensive patient care.
Purpose of the Study:
- To investigate the long-term survival rates of patients discharged alive from an Intensive Care Unit (ICU).
- To identify factors influencing mortality in the year following ICU discharge.
Main Methods:
- A single-center retrospective cohort study was conducted.
- Data included patients admitted to a 10-bed ICU between 2004 and 2009 with follow-up until January 1, 2011.
Main Results:
- Out of 3477 ICU admissions, 2986 patients survived to hospital discharge.
- 14.6% of survivors died within the first year post-discharge, with highest mortality in the first three months.
- Increased one-year mortality risk was associated with older age, higher APACHE II scores, and non-home discharge destinations.
Conclusions:
- Patients surviving Intensive Care Unit (ICU) treatment exhibit a substantial risk of mortality in the subsequent year.
- This post-discharge mortality risk is comparable to in-hospital mortality and is significantly influenced by age and initial illness severity.
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