PMID: 8970553Dec 1, 1996Paper

Survival, quality of life, and charges in critically III surgical patients requiring prolonged ICU stays

The Journal of Trauma
S M FakhryR Rutledge

Abstract

Critical care consumes a significant portion of health care costs. Although there are currently increasing pressures to limit expenditures, data are not always available to allow physicians and patients to make informed therapeutic or triage decisions regarding prolonged intensive care unit (ICU) stays. The purpose of this study was to evaluate long-term outcome, quality of life, and charges in surgical patients requiring prolonged ICU stays (> 14 days). Adults requiring over 14 days of surgical ICU care from January 1991 to September 1993 were selected from our ICU data base. Survivors to hospital discharge were evaluated for outcome and quality of life by mail survey and/or telephone interview in addition to chart review. Eighty-three patients spent over 14 days in the surgical ICU during the study period. Fifty-two patients (62.6%) survived to hospital discharge. Average age was 53 years, average ICU length of stay was 26 days, and average hospital length of stay was 50 days. Complete follow-up data were available for 39 patients (75%). Thirty of the 39 patients (77%) were alive at an average follow-up of 18 months. Long-term survival in patients over 65 years old was 67% compared with 83% for younger patients (p < 0.05). Se...Continue Reading

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