December 6, 2010Annals of Surgery
Long-term Survival After Surgical Intensive Care Unit Admission
Key result
Surgical ICU admission linked to ~89% higher 11-year mortality versus the general population.
- n=1,822
Why the study?
What are the long-term survival outcomes and their determinants in surgical patients admitted to the ICU?
Population
1822 surgical patients admitted to the ICU of the St Elisabeth Hospital between 1995 and 2000
Comparison
Surgical ICU admission and treatment vs General population
Design
Cohort
Follow-up
mean 8 years (up to 11 years)
Authors
Discussion
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Implication
Alerts clinicians to excess long-term mortality after surgical ICU admission; leaves open modifiable determinants for prospective intervention trials.
Study Design
Type
Cohort (n=1,822)
Multicenter
No
Structured PICO
What are the long-term survival outcomes and their determinants in surgical patients admitted to the ICU?
P
Population
1,822 surgical patients admitted to a single-center ICU between 1995 and 2000, followed for a mean of 8 years.
E
Exposure
Surgical ICU admission and treatment
C
Comparator
General population
O
Outcome
Long-term survival (mortality) up to 11 yearshard clinical
Main Result
Absolute Event Rate: 51% vs 27%
Long-term survival after surgical ICU admission is poor, with only 50% survival at 10 years, which is significantly worse than the general population and strongly influenced by age, gender, and surgical classification.
Cite This Study
Timmers et al. (2010) conducted a cohort in Surgical intensive care unit admission (n=1,822). Surgical ICU admission vs. General population was evaluated on Long-term mortality (within 11 years). Surgical ICU admission was associated with a 51% long-term mortality rate over 11 years, a twofold increase compared to the 27% mortality rate in the general population.