Long-term outcomes and associated factors among intensive care unit survivors in a low-income country: a multicenter prospective cohort study

Autor: Ham Wasswa Matovu, Cornelius Sendagire, Tonny Stone Luggya, Agnes Wabule, Nelson Mukiza, Auma Prisca, Peter Kaahwa Agaba
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Research Notes, Vol 17, Iss 1, Pp 1-9 (2024)
Druh dokumentu: article
ISSN: 1756-0500
DOI: 10.1186/s13104-024-06874-w
Popis: Abstract Objective Post-ICU survivors face higher mortality and often require costly rehabilitation or palliative care, such as occupational therapy, physiotherapy and hospice. However, there is a lack of data quantifying the demand for these services, particularly in developing countries like Uganda. Therefore, this prospective cohort study aimed to investigate the 90-day mortality rate, functional status, and mortality risk factors among 121 ICU patients discharged from three tertiary hospital ICUs in Uganda by tracking their vital and physical functional status for three months with follow-ups on days 30, 60, and 90, and identifying risk factors through Cox regression. Results The study revealed that 18 out of 121 ICU patients (14.88%, 95% CI: 9.52-22.51%) died within 90 days post-discharge, while 36.36% achieved normal physical functional status. Factors associated with higher 90-day mortality included raised intracranial pressure (HR 1.92, 95% CI: 1.76–2.79, p = 0.04), acute kidney injury (HR 4.13, 95% CI: 2.16–7.89, p
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