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A prolonged intensive care unit stay defines a worse long-term prognosis: insights from the critically ill mortality by age (Cimba) study

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dc.contributor.authorBento Rodrigues, Ana Rita
dc.contributor.authorOliveira, André
dc.contributor.authorVieira, Tatiana
dc.contributor.authorAssis, Rui
dc.contributor.authorLume, Catarina
dc.contributor.authorPereira, João
dc.contributor.authorFernandes, Susana M.
dc.date.accessioned2025-01-21T14:20:21Z
dc.date.available2025-01-21T14:20:21Z
dc.date.issued2024
dc.description© 2024 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/ licenses/by/4.0/)pt_PT
dc.description.abstractBackground: Patients with critical illness often survive the intensive care unit (ICU) at a cost of prolonged length of stay (LOS) and slow recovery. This chronic critically ill disease may lead to long-term poor outcomes, especially in older or frail patients. Objectives: The main goal of this study was to address the characteristics and outcomes of patients with prolonged ICU LOS. Mainly, short- and long-term admissions were compared to identify risk factors for persistent critical illness and to characterise the impact on ICU, hospital, and long-term mortality. Methods: Subanalysis of a retrospective, multicentric, observational study addressing the 2-year outcome of patients admitted to Portuguese ICUs (the Cimba study). Patients were segregated according to an ICU LOS of ≥14 days. Results: Data from 37 118 patients were analysed, featuring a median ICU LOS of 4 days (percentile: 25-75 2-9), and a mortality of 16.1% in the ICU, 24.0% in the hospital, and 38.7% after 2 years. A total of 5334 patients (14.4%) had an ICU LOS of ≥14 days (corresponding to 48.9% of all ICU patients/days). Patients with prolonged LOS were more often younger (52.8% vs 46.4%, were ≤65 years of age , p < 0.001), although more severe (Simplified Acute Physiology Score II: 49.1 ± 16.9 vs 41.8 ± 19.5, p < 0.001), and had higher ICU and hospital mortality (18.3% vs 15.7%, and 31.2 vs 22.8%, respectively). Prolonged ICU LOS was linked to an increased risk of dying during the 2-year follow-up (adjusted Cox proportional hazard: 1.65, p < 0.001). Conclusion: Prolonged LOS is associated with a long-term impact on patient prognosis. More careful planning of care should incorporate these data.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAust Crit Care. 2024 Sep;37(5):734-739pt_PT
dc.identifier.doi10.1016/j.aucc.2024.03.001pt_PT
dc.identifier.eissn1878-1721
dc.identifier.issn1036-7314
dc.identifier.urihttp://hdl.handle.net/10400.5/97418
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/journal/australian-critical-carept_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectChronic critical illnesspt_PT
dc.subjectIntensive care unit survivalpt_PT
dc.subjectLength of staypt_PT
dc.subjectLong-term outcomept_PT
dc.titleA prolonged intensive care unit stay defines a worse long-term prognosis: insights from the critically ill mortality by age (Cimba) studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage739pt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPage734pt_PT
oaire.citation.titleAustralian Critical Carept_PT
oaire.citation.volume37pt_PT
person.familyNameBento Rodrigues
person.familyNameGonçalves Pereira
person.familyNameFernandes
person.givenNameAna Rita
person.givenNameJoão
person.givenNameSusana
person.identifier.ciencia-id2C13-C2A3-79E7
person.identifier.ciencia-id051A-13F5-B876
person.identifier.orcid0000-0003-0726-0123
person.identifier.orcid0000-0002-7538-3777
person.identifier.orcid0000-0002-7468-9141
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication4a8cdc70-b464-4dc3-98a0-67819f043488
relation.isAuthorOfPublication51ddf435-8b92-42c9-bc37-7e45a68023d2
relation.isAuthorOfPublicationb222d23c-63a8-4d90-8879-6ff99f520112
relation.isAuthorOfPublication.latestForDiscovery51ddf435-8b92-42c9-bc37-7e45a68023d2

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