Long-term outcome and functional health status following intensive care in Hong Kong.
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.
Prospective data collection and review.
A 14-bed multidisciplinary ICU in a 1,400-bed tertiary care university hospital.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0118973
Code Inist : 002B27B15. Création : 16/11/1999.