Document Detail

Adult intensive care unit use at the end of life: a population-based study.
MedLine Citation:
PMID:  16835969     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To determine population-based rates of intensive care unit (ICU) use at the end of life in adults and describe demographic and clinical variation in end-of-life ICU use.
PATIENTS AND METHODS: A retrospective, population-based cohort study set in Olmsted County, Minnesota, was performed. We identified adult residents admitted to an ICU in 1998 and determined those who were in the last year of life. Demographic data, ICU admission diagnoses, ICU Interventions, and length of stay were collected. We obtained Charlson comorbidity diagnoses and Indices for residents of Olmsted County to calculate condition-specific rates of end-of-life ICU use.
RESULTS: Of the 818 residents who had an ICU admission in 1998, 90 died in either the ICU or the hospital after having received ICU care. One in 8 decedents from Olmsted County in 1998 received ICU care during a terminal hospital admission. Six-month decedents who had received ICU care were older, had longer lengths of stay, and had a higher degree of comorbid illness compared with 6-month survivors. The ICU admission rates in the last 6 months of life increased with age and number of chronic conditions, ranging from 0.26 per 1000 person-years in the 18- to 44-year-old group to 18.5 per 1000 person-years in those 85 years or older and from 0.34 per 1000 person-years in those with no chronic conditions to 302.1 per 1000 person-years in those with 5 or more chronic conditions.
CONCLUSION: The rate of ICU use at the end of life Increases significantly with age and with the number of coexisting chronic illnesses.
Edward G Seferian; Bekele Afessa
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study    
Journal Detail:
Title:  Mayo Clinic proceedings     Volume:  81     ISSN:  0025-6196     ISO Abbreviation:  Mayo Clin. Proc.     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-13     Completed Date:  2006-07-27     Revised Date:  2013-12-13    
Medline Journal Info:
Nlm Unique ID:  0405543     Medline TA:  Mayo Clin Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  896-901     Citation Subset:  AIM; IM    
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MeSH Terms
Aged, 80 and over
Hospital Mortality / trends
Intensive Care Units / utilization*
Length of Stay
Middle Aged
Minnesota / epidemiology
Population Surveillance*
Retrospective Studies
Terminal Care / methods*,  statistics & numerical data
Comment In:
Mayo Clin Proc. 2006 Nov;81(11):1506-7; author reply 1507   [PMID:  17120409 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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