Navigation Links
Death After Discharge Rates Higher in Elderly ICU Patients

Risk highest among those who had mechanical ventilation, study finds

TUESDAY, March 2 (HealthDay News) -- Elderly patients discharged from the hospital after a stay in the intensive care unit (ICU) have a high rate of death in the following three years, new research shows.

The risk of death is highest among patients who were on mechanical ventilation while in the ICU, according to the report published in the March 3 issue of the Journal of the American Medical Association.

U.S. researchers analyzed data on 35,308 Medicare patients (over age 65) who survived an ICU stay and were discharged from the hospital in 2003. After three years, the death rate for these patients was 39.5 percent, compared with 34.5 percent among elderly patients who'd been in hospital but not in the ICU (hospital controls), and 14.9 percent among elderly people in the general population.

Among the ICU survivors, the death rate was 57.6 percent for those who received mechanical ventilation and 38.3 percent for those who didn't receive mechanical ventilation. The much higher death rate among those who'd been on mechanical ventilation was primarily due to a large number of deaths that occurred in the first six months after discharge, Dr. Hannah Wunsch, of Columbia University Medical Center and New York-Presbyterian Hospital/Columbia in New York City, and colleagues reported.

The study also found that the six-month death rate for the 33 percent of ICU survivors and 26.4 percent of hospital controls discharged to a skilled-care facility was 24.1 percent, compared with 7.5 percent for ICU survivors and hospital controls discharged home.

"The magnitude of the post-discharge use of skilled-care facilities for both ICU survivors and hospital controls and the high long-term mortality for all of these patients call into question whether discharge to skilled-care facilities is merely a marker for higher severity of illness with appropriate delivery of care. These patients could have been discharged prematurely from acute care hospitals, and needed a higher level of care than they received," Wunsch and colleagues wrote.

"It also is possible that these patients could have had better outcomes if discharged home, but were not able to be sent there due to lack of sufficient support from family or friends to act as caregivers. These findings highlight the need for a much more detailed understanding of the long-term care needs of these patients," the researchers concluded.

There has been little research into the outcomes of elderly ICU survivors, Wunsch and colleagues noted.

"Patients older than 65 years now make up more than half of all ICU admissions," they wrote. "Information is needed to understand the patterns of mortality, morbidity and health-care resource use in the months and years that follow critical illness to allow for better targeting of follow-up care."

More information

The Society of Critical Care Medicine has more about critical care.

-- Robert Preidt

SOURCE: Journal of the American Medical Association, news release, March 2, 2010

Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Penn study finds pro-death proteins required to regulate healthy immune function
2. Study, meta-analysis examine factors associated with death from heatstroke
3. Antioxidants show no clear benefit against cardiovascular events, death in high-risk women
4. Diabetes appears to increase risk of death for patients with acute coronary syndromes
5. Diet high in meat, fat and refined grains linked to risk for colon cancer recurrence, death
6. Longer ambulance journeys boost death risk for seriously ill patients
7. Stopping Statins After Stroke Doubles Death Risk
8. Oral Health a Matter of Life and Death for Seniors
9. Pop stars more than twice as likely to die an early death
10. Australian-led international study shows blood pressure drugs cut death rate in type 2 diabetes
11. Amid Improving Life Expectancy Rates, Risk of Premature Death is Still Significant for Americans, New Study Shows
Post Your Comments:
(Date:11/25/2015)... ... 25, 2015 , ... The holiday season is jam-packed with ... palates of attendees is of the utmost importance. Whether you are cooking at ... these recipes a try this holiday season. , Turkey Croquettes , ...
(Date:11/25/2015)... ... November 26, 2015 , ... ... European Union (EU), ANDI Pan African Centres of Excellence, and public R&D institutions, ... (UNON) for the opening of the 5th African Network for Drugs and Diagnostics ...
(Date:11/25/2015)... OH (PRWEB) , ... November 25, 2015 , ... Dental ... implants in Cleveland, OH , are invited to attend Dr. Mark Iacobelli’s Advanced Implant ... this year in Cleveland, OH. , As the co-founders of Advanced Implant Mentoring ...
(Date:11/25/2015)... ... 2015 , ... Smiles by Stevens is pleased to announce the ... While many patients are aware of the benefits of Botox® in the treatment of ... suffering with discomfort, soreness, and pain as a result of Jaw Tension, TMJ (temporo-mandibular ...
(Date:11/25/2015)... ... November 25, 2015 , ... “While riding the bus, I saw a ... “I thought there had to be a convenient and comfortable way to protect them ... enables disabled individuals to safely travel during cold or inclement weather. In doing so, ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... Research and Markets ( ) ... Future Horizons and Growth Strategies in the Japanese ... Segment Forecasts, Competitive Intelligence, Emerging Opportunities" report ... --> This new 247-page report ... drug monitoring market, including emerging tests, technologies, instrumentation, ...
(Date:11/26/2015)... -- Research and Markets ( ) has announced ... by Type (Dressings, Therapy Devices, Active Wound Care), Application ... and Geography - Global Forecast to 2020" report ... --> The purpose of this report is ... global advanced wound care market. It involves deep dive ...
(Date:11/26/2015)... November 26, 2015 ... the "Radioimmunoassay Market by Type (Reagents ... Industry, Academics, Clinical Diagnostic Labs), Application (Research, ... to 2020" report to their offering. ... the addition of the "Radioimmunoassay Market ...
Breaking Medicine Technology: