TITLE

Adult Intensive Care Unit Use at the End of Life: A Population-Based Study

AUTHOR(S)
Seferian, Edward G.; Afessa, Bekele
PUB. DATE
July 2006
SOURCE
Mayo Clinic Proceedings;Jul2006, Vol. 81 Issue 7, p896
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
OBJECTIVES: To determine population-based rates of intensive care unit (ICU) use at the end of life in adults and describe demographic and clinical variation in end-of-life ICU use. PATIENTS AND METHODS: A retrospective, population-based cohort study set in Olmsted County, Minnesota, was performed. We identified adult residents admitted to an ICU in 1998 and determined those who were in the last year of life. Demographic data, ICU admission diagnoses, ICU interventions, and length of stay were collected. We obtained Charlson comorbidity diagnoses and indices for residents of Olmsted County to calculate condition-specific rates of end-of-life ICU use. RESULTS: Of the 818 residents who had an ICU admission in 1998, 90 died in either the ICU or the hospital after having received ICU care. One In 8 decedents from Olmsted County in 1998 received ICU care during a terminal hospital admission. Six-month decedents who had received ICU care were older, had longer lengths of stay, and had a higher degree of comorbid illness compared with 6-month survivors. The ICU admission rates in the last 6 months of life increased with age and number of chronic conditions, ranging from 0.26 per 1000 person-years in the 18- to 44-year-old group to 18.5 per 1000 person-years in those 85 years or older and from 0.34 per 1000 person-years in those with no chronic conditions to 302.1 per 1000 person-years in those with 5 or more chronic conditions. CONCLUSION: The rate of ICU use at the end of life increases significantly with age and with the number of coexisting chronic Illnesses.
ACCESSION #
21499909

 

Related Articles

  • Critically ill patients readmitted to intensive care units—lessons to learn? Metnitz, Philipp G. H.; Fieux, Fabienne; Jordan, Barbara; Lang, Thomas; Moreno, Rui; Le Gall, Jean-Roger // Intensive Care Medicine;Feb2003, Vol. 29 Issue 2, p241 

    Objective. To evaluate risk factors in critically ill patients who were readmitted to an intensive care unit (ICU) during their hospital stay. Design. Prospective multicenter cohort study. Patients and setting. A total of 15,180 patients discharged from 30 medical, surgical and mixed ICUs in...

  • Role of ICU in the management of the acute abdomen. Kapadia, Farhad // Indian Journal of Surgery;Jul/Aug2004, Vol. 66 Issue 4, p203 

    Patients with an AA often need to be admitted to an Intensive Care Unit perioperitavely for monitoring and management of surgical and medical complications. Septic sequelae may necessitate repeated abdominal interventions, either percutaneous aspiration and drain placement or repeated...

  • Hospital mortality associated with day and time of admission to intensive care units. Wunsch, Hannah; Mapstone, James; Brady, Tony; Hanks, Rosa; Rowan, Kathryn // Intensive Care Medicine;May2004, Vol. 30 Issue 5, p895 

    Objective: To investigate whether hospital mortality of patients was associated with the day of the week or time of admission to intensive care units (ICUs). Design: Cohort study. Setting: One hundred two adult, general (mixed medical/surgical) ICUs in...

  • Treatment of Organophosphate Poisoning. Wadia, R. S. // Indian Journal of Critical Care Medicine;Apr-Jun2003, Vol. 7 Issue 2, p85 

    Focuses on the importance of organophosphate poisoning as a problems of self-poisoning presenting in the intensive care unit (ICU) in India and Sri Lanka. Number of death cases from pesticide poisoning; Means of inducing the ventilation in the organophosphate poisoning; Details on the mean...

  • Ward mortality in patients discharged from the ICU with tracheostomy may depend on patient’s vulnerability. Fernandez, Rafael; Bacelar, Nestor; Hernandez, Gonzalo; Tubau, Isabel; Baigorri, Francisco; Gili, Gisela; Artigas, Antonio // Intensive Care Medicine;Oct2008, Vol. 34 Issue 10, p1878 

    To determine the effect of discharge from the ICU with a tracheostomy tube on ward mortality and its relation to patient vulnerability. Retrospective single-center cohort study. Database (2003–2006) review of patients undergoing mechanical ventilation (MV) > 24 h and discharged from the...

  • Considerations and proposals for the management of patients after prolonged intensive care unit admission. Robin H Johns // Postgraduate Medical Journal;Sep2010, Vol. 86 Issue 1019, p541 

    The majority of patients admitted to the intensive care unit (ICU) have a short stay of only a few days. However a small but significant number require prolonged intensive care. This is typically due to persisting, and sometimes complex, medical/surgical problems. Discharge of such ICU patients...

  • Decontamination of the digestive tract and oropharynx: hospital acquired infections after discharge from the intensive care unit. de Smet, Anne Marie G. A.; Hopmans, Titia E. M.; Minderhoud, Albertus L. C.; Blok, Hetty E. M.; Gossink-Franssen, Annelies; Bernards, Alexandra T.; Bonten, Marc J. M. // Intensive Care Medicine;Sep2009, Vol. 35 Issue 9, p1609 

    To determine the incidence rates of hospital acquired infections (HAI) during the first 14 days after ICU discharge after treatment during ICU-stay with Selective Decontamination of the Digestive tract (SDD), Selective Oropharyngeal Decontamination (SOD) or Standard Care (SC). Prospective...

  • Incidents relating to the intra-hospital transfer of critically ill patients: An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care. Beckmann, Ursula; Gillies, Donna M.; Berenholtz, Sean M.; Wu, Albert W.; Pronovost, Peter // Intensive Care Medicine;Aug2004, Vol. 30 Issue 8, p1579 

    Objective. Transportation of critically ill patients within the hospital poses important risks. We sought to identify causes, outcomes and contributing factors associated with intra-hospital transport. Design. Cross-sectional case review. Setting. Incident reports submitted to the Australian...

  • Mortality Rate and Outcome among Patients Admitted to General Intensive Care Unit during "Morning-Hour" Compared with "Off-Hour". Ala, Shahram; Pakravan, Nasrin; Ahmadi, Motahhare // International Journal of Clinical Medicine;May2012, Vol. 3 Issue 3, p171 

    Aim: This study aim to evaluate the effect of time of admission on mortality of patients admitted to the ICU. Method: This retrospective study included 391 of patients admitted to the ICU of an academic hospital during one year. Patients were categorized according to time of admission:...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics