Six-Month Morbidity and Mortality among Intensive Care Unit Patients Receiving Life-Sustaining Therapy. A Prospective Cohort Study

Autor: Saida Kent, Aaron M. Delman, Scott D. Halpern, Elizabeth Cooney, Isabella V. Ciuffetelli, Michael E. Detsky, Nicole B. Gabler, Mark E. Mikkelsen, Anna E. Buehler, Michael O. Harhay, Sarah J. Ratcliffe, Dominique F. Bayard
Rok vydání: 2017
Předmět:
Zdroj: Annals of the American Thoracic Society. 14:1562-1570
ISSN: 2325-6621
2329-6933
DOI: 10.1513/annalsats.201611-875oc
Popis: Rationale: Understanding long-term outcomes of critically ill patients may inform shared decision-making in the intensive care unit (ICU).Objectives: To quantify 6-month functional outcomes of general ICU patients, and develop a multivariable model comprising factors present during the first ICU day to predict which patients will return to their baseline function 6 months later.Methods: We conducted a prospective cohort study in three medical ICUs and two surgical ICUs in three hospitals. We enrolled patients who spent at least 3 days in the ICU and received mechanical ventilation for more than 48 hours and/or vasoactive infusions for more than 24 hours.Results: We measured 6-month outcomes including survival, return to original place of residence, and physical and cognitive function. Of 303 enrolled patients, 299 (98.7%) had complete follow-up at 6 months. Among the 169 patients (56.5%) who survived to 6 months, 82.8% returned home, 81.9% were able to toilet, 71.3% were able to ambulate 10 stairs, and 62...
Databáze: OpenAIRE