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  1. Long-term outcome and functional health status following intensive care in Hong Kong.

    Article - En anglais

    Objectives 

    To assess mortality and functional health status of patients at 1 yr following admission to a multidisciplinary intensive care unit (ICU) in Hong Kong.

    To determine which factors are associated with a poor long-term outcome.

    Design 

    Prospective data collection and review.

    Setting 

    A 14-bed multidisciplinary ICU in a 1,400-bed tertiary care university hospital.

    Patients 

    Data from 2,268 consecutive patients admitted over a 2.5-yr period was analyzed, including follow-up at 1 yr in 853 adult survivors.

    Interventions 

    None.

    Measurements and Main Results 

    The patients'clinical details and Acute Physiology and Chronic Health Evaluation (APACHE) II scores were recorded on day 2 of admission and reviewed at time of discharge or death.

    The mean APACHE II score on admission was 18.

    Survival status at 1 yr was ascertained and the sickness impact profile (SIP) scored as a measure of functional health status for survivors.

    Sixty-five percent of patients survived to discharge from hospital and 44% of patients were known to survive to 1 yr ; 6% of patients could not be traced at 1 yr.

    Functional health status was assessed in 85% of eligible adult patients.

    Survivors to 1 yr were younger than nonsurvivors and had lower APACHE II scores.

    The median SIP score was 5.1, (25th and 75th percentiles : 0 to 15), and 76% of patients had SIP scores <=15, i.e., normal health to moderate disability. (...)

    Mots-clés Pascal : Unité soin intensif, Soin intensif, Mortalité, Survie, Long terme, Capacité fonctionnelle, Indice gravité, Hong Kong, Chine, Asie, Pronostic, Facteur prédictif, Adulte, Homme

    Mots-clés Pascal anglais : Intensive care unit, Intensive care, Mortality, Survival, Long term, Functional capacity, Severity score, Hong Kong, China, Asia, Prognosis, Predictive factor, Adult, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0118973

    Code Inist : 002B27B15. Création : 16/11/1999.