Realistic Survival Outcomes After Vasopressor Use in the Intensive Care Unit

Aim: Patients in the intensive care unit (ICU) have significantly increased mortality rates. Frequently, clinicians are called upon to help families make decisions regarding aggressiveness of care. Having a realistic expectation of outcome is critical for these discussions. This article looked at survival and outcomes following initiation of vasopressors. Methods: All patients admitted to the ICU between January and June 2011were included. Patients were classified into those who had been started on vasopressors (VP+) and those who had not (VP−). Outcomes of these groups including survival were calculated and compared. Results: A total of 1023 patients were included: 169 in the VP+ group and 854 in the VP− group. The survival rate in the VP+ group was 29.6% compared to 92.0% in the VP− group. This was both clinically and statistically significant (P < .001). Conclusion: Patients started on vasopressors in the ICU have very poor outcomes. Being able to quantify this accurately is important to clinicians having discussions with family members.