Long-term outcomes of hospital survivors following an ICU stay: A multi-centre retrospective cohort study
The focus of much Intensive Care research has been on short-term survival, which has demonstrated clear improvements over time. Less work has investigated long-term survival, and its correlates. This study describes long-term survival and identifies factors associated with time to death, in patients...
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| Veröffentlicht in: | PloS one 2022-03, Vol.17 (3), p.e0266038-e0266038 |
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| creator | Doherty, Zakary Kippen, Rebecca Bevan, David Duke, Graeme Williams, Sharon Wilson, Andrew Pilcher, David |
| description | The focus of much Intensive Care research has been on short-term survival, which has demonstrated clear improvements over time. Less work has investigated long-term survival, and its correlates. This study describes long-term survival and identifies factors associated with time to death, in patients who initially survived an Intensive Care admission in Victoria, Australia.
We conducted a retrospective cohort study of adult patients discharged alive from hospital following admission to all Intensive Care Units (ICUs) in the state of Victoria, Australia between July 2007 and June 2018. Using the Victorian Death Registry, we determined survival of patients beyond hospital discharge. Comparisons between age matched cohorts of the general population were made. Cox regression was employed to investigate factors associated with long-term survival.
A total of 130,775 patients from 23 ICUs were included (median follow-up 3.6 years post-discharge). At 1-year post-discharge, survival was 90% compared to the age-matched cohort of 98%. All sub-groups had worse long-term survival than their age-matched general population cohort, apart from elderly patients admitted following cardiac surgery who had better or equal survival. Multiple demographic, socio-economic, diagnostic, acute and chronic illness factors were associated with long-term survival.
Australian patients admitted to ICU who survive to discharge have worse long-term survival than the general population, except for the elderly admitted to ICU following cardiac surgery. These findings may assist during goal-of-care discussions with patients during an ICU admission. |
| doi_str_mv | 10.1371/journal.pone.0266038 |
| format | Article |
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We conducted a retrospective cohort study of adult patients discharged alive from hospital following admission to all Intensive Care Units (ICUs) in the state of Victoria, Australia between July 2007 and June 2018. Using the Victorian Death Registry, we determined survival of patients beyond hospital discharge. Comparisons between age matched cohorts of the general population were made. Cox regression was employed to investigate factors associated with long-term survival.
A total of 130,775 patients from 23 ICUs were included (median follow-up 3.6 years post-discharge). At 1-year post-discharge, survival was 90% compared to the age-matched cohort of 98%. All sub-groups had worse long-term survival than their age-matched general population cohort, apart from elderly patients admitted following cardiac surgery who had better or equal survival. Multiple demographic, socio-economic, diagnostic, acute and chronic illness factors were associated with long-term survival.
Australian patients admitted to ICU who survive to discharge have worse long-term survival than the general population, except for the elderly admitted to ICU following cardiac surgery. These findings may assist during goal-of-care discussions with patients during an ICU admission.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0266038</identifier><identifier>PMID: 35344543</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Aftercare ; Age ; Aged ; Blood & organ donations ; Chronic illnesses ; Cohort analysis ; Datasets ; Health care ; Heart ; Heart surgery ; Hospital care ; Hospital Mortality ; Hospitals ; Humans ; Intensive care ; Intensive Care Units ; Length of Stay ; Medicine and Health Sciences ; Older people ; Patient Discharge ; Patient outcomes ; Patients ; People and Places ; Population ; Retrospective Studies ; Services ; Socioeconomic factors ; Surgery ; Survival ; Survivors ; Victoria - epidemiology</subject><ispartof>PloS one, 2022-03, Vol.17 (3), p.e0266038-e0266038</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Doherty et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Doherty et al 2022 Doherty et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-c7293eec015e894d4c29c84c3fe53c959f4b38dbe115b6adf0546428dd2b19d83</citedby><cites>FETCH-LOGICAL-c692t-c7293eec015e894d4c29c84c3fe53c959f4b38dbe115b6adf0546428dd2b19d83</cites><orcidid>0000-0001-6433-5123</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8959167/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8959167/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35344543$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Nakazone, Marcelo Arruda</contributor><creatorcontrib>Doherty, Zakary</creatorcontrib><creatorcontrib>Kippen, Rebecca</creatorcontrib><creatorcontrib>Bevan, David</creatorcontrib><creatorcontrib>Duke, Graeme</creatorcontrib><creatorcontrib>Williams, Sharon</creatorcontrib><creatorcontrib>Wilson, Andrew</creatorcontrib><creatorcontrib>Pilcher, David</creatorcontrib><title>Long-term outcomes of hospital survivors following an ICU stay: A multi-centre retrospective cohort study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The focus of much Intensive Care research has been on short-term survival, which has demonstrated clear improvements over time. Less work has investigated long-term survival, and its correlates. This study describes long-term survival and identifies factors associated with time to death, in patients who initially survived an Intensive Care admission in Victoria, Australia.
We conducted a retrospective cohort study of adult patients discharged alive from hospital following admission to all Intensive Care Units (ICUs) in the state of Victoria, Australia between July 2007 and June 2018. Using the Victorian Death Registry, we determined survival of patients beyond hospital discharge. Comparisons between age matched cohorts of the general population were made. Cox regression was employed to investigate factors associated with long-term survival.
A total of 130,775 patients from 23 ICUs were included (median follow-up 3.6 years post-discharge). At 1-year post-discharge, survival was 90% compared to the age-matched cohort of 98%. All sub-groups had worse long-term survival than their age-matched general population cohort, apart from elderly patients admitted following cardiac surgery who had better or equal survival. Multiple demographic, socio-economic, diagnostic, acute and chronic illness factors were associated with long-term survival.
Australian patients admitted to ICU who survive to discharge have worse long-term survival than the general population, except for the elderly admitted to ICU following cardiac surgery. 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Less work has investigated long-term survival, and its correlates. This study describes long-term survival and identifies factors associated with time to death, in patients who initially survived an Intensive Care admission in Victoria, Australia.
We conducted a retrospective cohort study of adult patients discharged alive from hospital following admission to all Intensive Care Units (ICUs) in the state of Victoria, Australia between July 2007 and June 2018. Using the Victorian Death Registry, we determined survival of patients beyond hospital discharge. Comparisons between age matched cohorts of the general population were made. Cox regression was employed to investigate factors associated with long-term survival.
A total of 130,775 patients from 23 ICUs were included (median follow-up 3.6 years post-discharge). At 1-year post-discharge, survival was 90% compared to the age-matched cohort of 98%. All sub-groups had worse long-term survival than their age-matched general population cohort, apart from elderly patients admitted following cardiac surgery who had better or equal survival. Multiple demographic, socio-economic, diagnostic, acute and chronic illness factors were associated with long-term survival.
Australian patients admitted to ICU who survive to discharge have worse long-term survival than the general population, except for the elderly admitted to ICU following cardiac surgery. These findings may assist during goal-of-care discussions with patients during an ICU admission.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>35344543</pmid><doi>10.1371/journal.pone.0266038</doi><tpages>e0266038</tpages><orcidid>https://orcid.org/0000-0001-6433-5123</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Aftercare Age Aged Blood & organ donations Chronic illnesses Cohort analysis Datasets Health care Heart Heart surgery Hospital care Hospital Mortality Hospitals Humans Intensive care Intensive Care Units Length of Stay Medicine and Health Sciences Older people Patient Discharge Patient outcomes Patients People and Places Population Retrospective Studies Services Socioeconomic factors Surgery Survival Survivors Victoria - epidemiology |
| title | Long-term outcomes of hospital survivors following an ICU stay: A multi-centre retrospective cohort study |
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