Key result
Six months after general medical-surgical ICU discharge, 94% of patients with known vital status were alive, while 6% had died.
Cohort (n=1,545)
No
Six months after ICU discharge, survival is high but survivors experience significant physical and psychological compromise regardless of age or admission reason.
High 6-month post-ICU survival may reassure on prognosis; leaves open optimal strategies to address survivor morbidity.
• Six months after hospital discharge, we followed up 1545 patients who had received care in the general medical-surgical intensive care unit (ICU) of a tertiary care hospital. Vital status could not be ascertained for 200 of these patients. Of the 1345 former ICU patients for whom a determination of vital status could be made, 1261 (94%) were alive and 84 (6%) had died. Of those known to be living, 887 (70%) responded to a questionnaire regarding employment, functional, and social status. A large proportion of survivors less than 40 years of age had returned to work. Younger patients admitted to the hospital for elective surgery reported as much compromise of physical and psychological activity as did older patients admitted for emergency reasons. Older survivors reported an increase of interaction with family members and a decrease of social interaction with those other than family. (Arch Intern Med1989;149:68-72)
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Diane J. Mundt (1989) conducted a cohort in Post-ICU discharge (n=1,545). General medical-surgical ICU care was evaluated on Vital status at 6 months. Six months after general medical-surgical ICU discharge, 94% of patients with known vital status were alive, while 6% had died.
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