ICU sedation, delirium & recovery

Days Alive and at Home After Critical Illness Hospitalization Among Older Adults and Its Association With Delivery of In-Hospital Rehabilitation

Crit Care MedPublished Retrospective cohort study

Main finding · DAAH 100Result — go to the resultAdjusted odds ratio 1.08 95% CI 1.04–1.08

Authors' conclusion

In this nationally representative study of older ICU survivors, the average patient spent 95 of the first 100 post-discharge DAAH; delivery of greater amounts of in-hospital rehabilitation was associated with increased DAAH 100 after discharge.

Study context

Population
Community-dwelling Medicare beneficiaries aged ≥65 yr who survived ICU hospitalization (National Health and Aging Trends Study linked with Medicare claims, 2011–2019)weighted n = 5,330,486
Participants
884 beneficiaries
Exposure
Units of in-hospital rehabilitation
Outcome
Days alive and at home in the 100 days after ICU hospitalization (DAAH 100): 100 minus all post-discharge days in ED, observation unit, inpatient medical, psychiatric, rehabilitation unit, skilled nursing or hospice facility, and post-death (ordinal)
Follow-up
100 days after discharge
Methodological detailsnationally representative, linked Medicare claims
  • Nationally representative
  • Linked Medicare claims

Main finding

DAAH 100

Adjusted odds ratio

1.08

95% CI 1.04–1.08

Each hour of in-hospital rehabilitation
aOR 1.08 (95% CI 1.04–1.08)

Each hour of in-hospital rehabilitation, as printed

As reported in the abstract

Median days alive and at home (DAAH) 100 (IQR: 58.4-100)
95
Median units of in-hospital rehabilitation (≈1 hr), delivered over 6 days
4

Observational data: associations, not effects.

Original publication

Days Alive and at Home After Critical Illness Hospitalization Among Older Adults and Its Association With Delivery of In-Hospital Rehabilitation. Crit Care Med. Published 10 March 2026. doi:10.1097/ccm.0000000000007094

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