Long-term survival after intensive care: A retrospective cohort study
Acta Anaesthesiologica Scandinavica Oct 24, 2019
Kristinsdottir EA, et al. - Researchers conducted this retrospective cohort study to examine the long-term survival of the intensive care unit (ICU) patients in Iceland and evaluate changes over a 15-year period. They gathered data on age, gender, admission cause, length of stay, comorbidities, mechanical ventilation and survival of patients 18 years and older admitted to the ICUs in Landspitali during 2002-2016. Of 15,832 admissions to ICU, 55% was medical, 38% was surgical and 7% was due to injury. Data reported that the 5-year survival of medical, surgical and trauma patients was 66%, 76% and 92% respectively. Patient survival improved during the study period only for patients admitted for infections after correcting for age, gender, comorbidities, length of ICU stay and mechanical ventilation. Compared with the general population, long-term survival of ICU patients is substantially reduced but varies based on admission causes. Earlier detection and improved treatment of septic shock can explain improved long-term survival for patients admitted with infections.
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