Outcome and cost of prolonged stay in the surgical intensive care unit
| Autor: | Gerald J. Becker, Gerald O. Strauch, Harry J. Saranchak |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment MEDLINE Surgical intensive care unit law.invention Sepsis Postoperative Complications Quality of life law Intensive care medicine Humans Mortality Intensive care medicine Aged business.industry Length of Stay Middle Aged medicine.disease Intensive care unit Long-Term Care Respiration Artificial Surgery Economics Medical Hospitalization Long-term care Intensive Care Units Surgical Procedures Operative Quality of Life Female Hemodialysis business |
| Zdroj: | Archives of surgery (Chicago, Ill. : 1960). 119(11) |
| ISSN: | 0004-0010 1338-1342 |
| Popis: | • We retrospectively studied 50 surgical patients who required more than 14 days of care in the intensive care unit (ICU) in terms of the admission diagnosis, reason for extended stay, complications, cost, therapeutic intervention scores, mortality, and quality of life after discharge. The morbidity, mortality, and cost were extraordinary. Survival varied inversely with the therapeutic intervention scores. The ICU and one-year mortalities were 46.0% and 74.5%, respectively. The quality of life following discharge was generally poor. Increased mortality was associated with the following criteria: multiple-organ failure, age, sepsis, cancer, the combination of infection and failure of a major organ system, the requirement for a tracheostomy for prolonged respiratory support, and the requirement for hemodialysis for renal failure. In light of the escalating demand and cost of ICU care, it is advisable to identify those factors that determine whether these patients will benefit from intensive care, to develop strategies that are cognizant of the prognosis and the cost at the outset of care. ( Arch Surg 1984;119:1338-1342) |
| Databáze: | OpenAIRE |
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