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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

Bibliographic Details
Main Author: Bento Rodrigues, Ana Rita
Publication Date: 2024
Other Authors: Oliveira, André, Vieira, Tatiana, Assis, Rui, Lume, Catarina, Pereira, João, Fernandes, Susana M.
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10400.5/97418
Summary: © 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/)
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spelling A prolonged intensive care unit stay defines a worse long-term prognosis: insights from the critically ill mortality by age (Cimba) studyChronic critical illnessIntensive care unit survivalLength of stayLong-term outcome© 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/)Background: 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.ElsevierRepositório da Universidade de LisboaBento Rodrigues, Ana RitaOliveira, AndréVieira, TatianaAssis, RuiLume, CatarinaPereira, JoãoFernandes, Susana M.2025-01-21T14:20:21Z20242024-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.5/97418engAust Crit Care. 2024 Sep;37(5):734-7391036-731410.1016/j.aucc.2024.03.0011878-1721info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-17T16:31:51Zoai:repositorio.ulisboa.pt:10400.5/97418Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T04:18:21.724609Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv A prolonged intensive care unit stay defines a worse long-term prognosis: insights from the critically ill mortality by age (Cimba) study
title A prolonged intensive care unit stay defines a worse long-term prognosis: insights from the critically ill mortality by age (Cimba) study
spellingShingle A prolonged intensive care unit stay defines a worse long-term prognosis: insights from the critically ill mortality by age (Cimba) study
Bento Rodrigues, Ana Rita
Chronic critical illness
Intensive care unit survival
Length of stay
Long-term outcome
title_short A prolonged intensive care unit stay defines a worse long-term prognosis: insights from the critically ill mortality by age (Cimba) study
title_full A prolonged intensive care unit stay defines a worse long-term prognosis: insights from the critically ill mortality by age (Cimba) study
title_fullStr A prolonged intensive care unit stay defines a worse long-term prognosis: insights from the critically ill mortality by age (Cimba) study
title_full_unstemmed A prolonged intensive care unit stay defines a worse long-term prognosis: insights from the critically ill mortality by age (Cimba) study
title_sort A prolonged intensive care unit stay defines a worse long-term prognosis: insights from the critically ill mortality by age (Cimba) study
author Bento Rodrigues, Ana Rita
author_facet Bento Rodrigues, Ana Rita
Oliveira, André
Vieira, Tatiana
Assis, Rui
Lume, Catarina
Pereira, João
Fernandes, Susana M.
author_role author
author2 Oliveira, André
Vieira, Tatiana
Assis, Rui
Lume, Catarina
Pereira, João
Fernandes, Susana M.
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Bento Rodrigues, Ana Rita
Oliveira, André
Vieira, Tatiana
Assis, Rui
Lume, Catarina
Pereira, João
Fernandes, Susana M.
dc.subject.por.fl_str_mv Chronic critical illness
Intensive care unit survival
Length of stay
Long-term outcome
topic Chronic critical illness
Intensive care unit survival
Length of stay
Long-term outcome
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/)
publishDate 2024
dc.date.none.fl_str_mv 2024
2024-01-01T00:00:00Z
2025-01-21T14:20:21Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.5/97418
url http://hdl.handle.net/10400.5/97418
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Aust Crit Care. 2024 Sep;37(5):734-739
1036-7314
10.1016/j.aucc.2024.03.001
1878-1721
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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