One-year survival after admission in the intensive care unit: a retrospective cohort study.

Revista da Associacao Medica Brasileira (1992) Pub Date : 2024-09-16 eCollection Date: 2024-01-01 DOI:10.1590/1806-9282.20240463

Patrick Sepúlveda Barisich, Muriel Ramírez-Santana

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Abstract

Introduction: Improving survival is the objective of intensive care units. Various factors affect long-term outcomes. The objective was to explore survival and the associated factors 1 year after admission to the intensive care unit.

Method: This is an observational, descriptive, and analytical study in a retrospective cohort of adults admitted to an intensive care unit at a regional hospital during the first semester of 2022. Records of 218 patients from an anonymized database were analyzed.

Results: The average age was 61 years, and the average APACHE II score was 15 points (24% expected mortality). Survival 1 year after admission was 57.8%. Factors associated with 1-year survival in the Cox regression model were age and APACHE II. The univariate analysis showed that the cancer was significantly associated with lethality after 1 year (OR 10.55; 95%CI 1.99-55.76).

Conclusion: One-year survival after intensive care unit decreases by 16.1%. Factors that significantly reduced survival were old age, severity, and oncologic cause at admission.

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入住重症监护室后的一年存活率：一项回顾性队列研究。

简介提高存活率是重症监护室的目标。影响长期结果的因素有很多。本研究旨在探讨入住重症监护室一年后的存活率及其相关因素：这是一项观察性、描述性和分析性研究，研究对象是 2022 年上半年入住某地区医院重症监护室的成年人。研究分析了匿名数据库中 218 名患者的记录：平均年龄为61岁，APACHE II评分平均为15分（预期死亡率为24%）。入院一年后的存活率为 57.8%。在 Cox 回归模型中，与 1 年生存率相关的因素是年龄和 APACHE II。单变量分析表明，癌症与1年后的死亡显著相关（OR 10.55; 95%CI 1.99-55.76）：结论：重症监护室后的一年生存率降低了16.1%。结论：入住重症监护室后的一年存活率降低了 16.1%，明显降低存活率的因素包括高龄、严重程度和入院时的肿瘤病因。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista da Associacao Medica Brasileira (1992)

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