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Long-term survival after intensive care: A retrospective cohort study

Acta Anaesthesiologica Scandinavica Sep 24, 2019

Kristinsdottir EA, et al. - Researchers examined the long-term survival of ICU patients in Iceland and evaluated shifts over a 15-year period. Participants were patients 18 years and older admitted to the ICUs in Landspitali between 2002–2016. Analysis of 15,832 ICU admissions was done, including 55% medical, 38% surgical and 7% because of trauma. In medical, surgical and trauma patients, the 5-year survival was estimated to be 66%, 76% and 92%, respectively. In all patient groups, reduced survival was reported in correlation with higher age and comorbidity burden. A substantially reduced long-term survival was observed among ICU patients vs general population, but differences were seen in long-term survival based on admission causes. In patients admitted secondary to infections, improved long-term survival was observed, which could be explained by earlier detection and improved treatment of septic shock.
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