Document Detail


Long-term survival from intensive care: a review.
MedLine Citation:
PMID:  16132895     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine whether the long-term benefit of an ICU requires prolonged patient follow-up we reviewed long-term survival of patients from general ICUs. METHOD: We carried out a computerised search of online databases Medline (1966-2004), Embase (1966-2004) and Cochrane Library (1966-2004) for studies reporting patients' long-term survival for greater than 12 months from general ICUs. SELECTED STUDIES: We identified 19 studies that met the selection criteria. The casemix and severity of illness varied. Differences included the services provided, investigator inclusion/exclusion criteria and proportion of medical patients (range 13-79%). RESULTS: Mean reported ICU length of stay was 5.3 days. The study initiation time for follow-up varied (mostly from time of ICU admission), as did the duration of follow-up (16 months-13 years). ICU and hospital mortality rates ranged from 8% to 33% and 11% to 64%, respectively. The reported 5-year mortality ranged from 40% to 58%. CONCLUSIONS: Well designed studies on long-term outcomes are needed to demonstrate the value of intensive care. Deficiencies in design, methodology, and reporting make interpretation and comparison difficult. Recommendations are made for the reporting of outcome from the ICU. Optimum duration of follow-up has not been determined.
Authors:
Teresa A Williams; Geoffrey J Dobb; Judith C Finn; Steve A R Webb
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Publication Detail:
Type:  Journal Article; Review     Date:  2005-08-24
Journal Detail:
Title:  Intensive care medicine     Volume:  31     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-10-13     Completed Date:  2006-01-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1306-15     Citation Subset:  IM    
Affiliation:
Royal Perth Hospital, 6000 Wellington, St. Perth, WA, Australia.
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MeSH Terms
Descriptor/Qualifier:
APACHE
Adult
Age Factors
Aged
Critical Care*
Diagnosis-Related Groups
Female
Hospital Mortality*
Humans
Intensive Care Units / statistics & numerical data*
Length of Stay
Male
Middle Aged
Multicenter Studies as Topic
Survival Analysis*

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


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