One-year survival after admission in the intensive care unit: a retrospective cohort study.

Autor: Barisich PS; Hospital San Juan de Dios, Intensive Care Unit - La Serena, Chile.; Universidad Católica del Norte, Faculty of Medicine, Department of Public Health - Coquimbo, Chile., Ramírez-Santana M; Universidad Católica del Norte, Faculty of Medicine, Department of Public Health - Coquimbo, Chile.
Jazyk: angličtina
Zdroj: Revista da Associacao Medica Brasileira (1992) [Rev Assoc Med Bras (1992)] 2024 Sep 16; Vol. 70 (9), pp. e20240463. Date of Electronic Publication: 2024 Sep 16 (Print Publication: 2024).
DOI: 10.1590/1806-9282.20240463
Abstrakt: Introduction: Improving survival is the objective of intensive care units. Various factors affect long-term outcomes. The objective was to explore survival and the associated factors 1 year after admission to the intensive care unit.
Method: This is an observational, descriptive, and analytical study in a retrospective cohort of adults admitted to an intensive care unit at a regional hospital during the first semester of 2022. Records of 218 patients from an anonymized database were analyzed.
Results: The average age was 61 years, and the average APACHE II score was 15 points (24% expected mortality). Survival 1 year after admission was 57.8%. Factors associated with 1-year survival in the Cox regression model were age and APACHE II. The univariate analysis showed that the cancer was significantly associated with lethality after 1 year (OR 10.55; 95%CI 1.99-55.76).
Conclusion: One-year survival after intensive care unit decreases by 16.1%. Factors that significantly reduced survival were old age, severity, and oncologic cause at admission.
Databáze: MEDLINE