Two-Year Outcome of Adult Intensive Care Patients

Parno, Jeff; Teres, Daniel; Lemeshow, Stanley; Brown, Richard B.; Avrunin, Jill Spitz

doi:10.1097/00005650-198402000-00008

Cited by 39 publications

(19 citation statements)

References 9 publications

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“…Nonsurvivors had a greater burden of comorbidity and poorer preadmission QOL scores in all subscales. A finding that is matched by previous studies showing a predictive value of comorbidity and functional health status on short-and long-term outcome of ICU patients [3,5,19,29,30]. Subsequent survival of patients discharged from hospital was 91.7 % at 6 months (99 % expected survival in the general population adjusted for sex and age), which is comparable to the mortality rates reported in earlier follow-up studies [6,7,11].…”

Section: Discussionsupporting

confidence: 83%

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Changes in quality of life after medical intensive care

Wehler

Martus²,

Geise³

et al. 2000

Intensive Care Med

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Six months after admission to a medical ICU most survivors had regained their preadmission health-related QOL. Multivariate analysis showed that preadmission QOL, age, and severity of illness were most strongly associated with follow-up QOL. Of the survivors 86 % were living at home, and all but one of those previously in employment had returned to their former work. Most patients (94%) would undergo ICU treatment again if necessary.

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Section: Discussionsupporting

confidence: 83%

“…short-and long-term mortality rates than surgically treated patients [5,8,12] and worse outcomes in terms of functional abilities and QOL [8,18]. Previous QOL studies conducted in medical ICUs involved patients treated between 1977 and 1983 [4,19,20,21], two included coronary care patients [19,20], and only one [21] took comorbidities into account.…”

mentioning

confidence: 99%

Changes in quality of life after medical intensive care

Wehler

Martus²,

Geise³

et al. 2000

Intensive Care Med

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“…We also reviewed the bibliographies of relevant citations to identify additional citations. Overall, 19 studies met these criteria (2, 3, 29–45): 17 studies reported disability outcomes (2, 29–38, 40–42, 44), 2 studies reported cognitive outcomes (3, 45) and 2 studies reported both (39, 43). …”

Section: Epidemiology Of Disability Following Critical Illnessmentioning

confidence: 99%

Understanding and Reducing Disability in Older Adults Following Critical Illness*

Brummel

Balas

Morandi

et al. 2015

Critical Care Medicine

107

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Objective To review how disability can develop in older adults with critical illness and to explore ways to reduce long-term disability following critical illness. Data Sources Review of the literature describing post-critical illness disability in older adults and expert opinion. Results We identified 19 studies evaluating disability outcomes in critically ill patients age 65 years and older. Newly acquired disability in activities of daily living, instrumental activities of daily living and mobility activities was commonplace among older adults who survived a critical illness. Incident dementia and less-severe cognitive impairment was also highly prevalent. Factors related to the acute critical illness, intensive care unit practices such as heavy sedation, physical restraints and immobility as well as aging physiology and coexisting geriatric conditions can combine to result in these poor outcomes. Conclusion Older adults who survive critical illness suffer physical and cognitive declines resulting in disability at greater rates than hospitalized, non-critically ill and community dwelling older adults. Interventions derived from widely available geriatric care models in use outside of the ICU, which address modifiable risk factors including immobility and delirium, are associated with improved functional and cognitive outcomes and can be used to complement ICU-focused models such as the ABCDEs.

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“…Short-term mortality is related to the patients' initial severity of the acute illness, measured through validated and widely used severity scores [1]. Less information concerning long-term outcome exists, be it long-term survival or functional or employment status [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…Most studies aimed at assessing quality of life evaluate only the functional component or the professional activity. Based on simple questionnaire, they, however, permit valid comparisons to the patients' status prior to hospitalization [3,[7][8][9].…”

Section: Introductionmentioning

confidence: 99%