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Long-term survival after surgical intensive care admission: 50% die within 10 years
Critical Care volume 13, Article number: P515 (2009)
ICU treatment of surgical patients comes along with major disadvantages that have to be justified by an acceptable short-term and long-term outcome. Short-term effects of ICU treatment have been well documented, but this is the first study to describe the long-term effect in a large cohort after surgical ICU admission on survival.
Of all surgical patients admitted to the ICU of a single hospital between 1995 and 2000, patient characteristics, disease category, APACHE II score and survival were prospectively registered. A continuous follow up until 6 to 11 years after discharge was achieved.
Of the 1,822 patients included, 936 (51%) had died. Fifty-two patients were lost to follow up. Overall ICU and inhospital mortalities were 11% and 16%. Age, gender, APACHE II score and surgical diagnosis were independently associated with long-term survival. Mortality increased with age of admittance to the ICU, whereas female patients had a lower chance of dying (Figure 1). Long-term mortality rates in various surgical diagnostic groups varied between 29% for trauma and 70% for oncological patients. In gastrointestinal, oncological, general surgical and/or high-aged patients this negative effect even exceeds 5 years. In general, 10 years after ICU discharge the survival was only 50%. The mortality ratio was increased twofold in comparison with the general population.
Survival after ICU treatment follows distinct patterns in which age, gender, surgical diagnosis and APACHE II score are independent determinants. A negative effect of an ICU stay appears to be long lasting.
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Timmers, T., Verhofstad, M., Moons, K. et al. Long-term survival after surgical intensive care admission: 50% die within 10 years. Crit Care 13, P515 (2009). https://doi.org/10.1186/cc7679
- Surgical Patient
- Diagnostic Group
- Major Disadvantage
- Oncological Patient
- Disease Category