Long-term outcomes in ICU patients with extended stays
Author Information
Author(s): Friedrich Jan O, Wilson Gail, Chant Clarence
Primary Institution: St. Michael's Hospital, University of Toronto
Hypothesis
What are the long-term outcomes and clinical predictors of hospital mortality in very long stay ICU patients?
Conclusion
Patients with very long stays in the ICU have a reasonable chance of survival, with many returning to their previous place of residence after discharge.
Supporting Evidence
- ICU patients with very long stays accounted for 8% of total admissions but 48% of total occupied beds.
- Six months after hospital discharge, 50% of the cohort was still alive and 80% of the survivors were living in their previous place of residence.
- Prolonged requirements for life support therapies were predictors of increased hospital mortality.
Takeaway
Some patients stay in the ICU for a really long time, but many of them can go back home after they leave the hospital.
Methodology
Clinical data were collected from patients requiring at least 30 days of ICU care over a 3-year period.
Potential Biases
Potential bias due to the study being conducted in a single center and the subjective nature of some clinical decisions.
Limitations
The study's findings may not be generalizable due to being conducted at a single center with specific care processes.
Participant Demographics
Mean age of participants was 63 years, with a mix of medical and surgical patients.
Statistical Information
P-Value
0.02
Confidence Interval
95% CI 1.10–1.91
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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