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[Outcome of intensive care]
1Medizinische Klinik I, Sttdtisches Krankenhaus Hildesheim, Lehrkrankenhaus der Medizinischen Hochschule Hannover.
Medizinische Klinik (Munich, Germany : 1983)
|April 18, 1998
Summary
Intensive care patients face moderate quality of life decreases post-treatment, yet survivors show a 5-year survival rate triple that of the general population. Key challenges remain in treating diseases with persistently high mortality rates.
Area of Science:
- Critical Care Medicine
- Prognostic Factors in Intensive Care
Background:
- Hospital mortality post-intensive therapy in Germany is 15%, with 8% mortality within the intensive care unit.
- Short-term prognosis is influenced by disease severity, type, and patient age.
Purpose of the Study:
- To analyze factors influencing short-term and long-term prognosis after intensive therapy.
- To evaluate the quality of life for patients post-intensive care.
Main Methods:
- Disease severity assessed using acute physiology score systems.
- Long-term prognosis evaluated via 5-year survival rates and comparison to the general population.
- Quality of life analyzed through objective measurements and subjective estimations across physical, psychological, and social domains.
Main Results:
- Older patients face higher risks, independent of diagnosis or therapy aggressiveness.
- Intensive care patients exhibit a 5-year survival rate approximately 60%, significantly higher than the general population.
- Patients report a moderate but significant decrease in overall quality of life post-intensive therapy.
Conclusions:
- Despite decreased quality of life, patients generally view intensive care positively.
- Diseases with persistently high mortality rates represent the primary challenge in intensive care.
- Long-term survival post-intensive care is favorable, with survival curves normalizing within two years for many disease categories.