ICU sedation, delirium & recovery

Days Spent at Home and Mortality After Critical Illness: A Cluster Analysis Using Nationwide Data

ChestPublished Retrospective cohort study

Authors' conclusion

Many patients had complex health care trajectories after surviving critical illness.

Study context

Population
Adult survivors of ≥2 nights in a French ICU in 2018 treated with invasive mechanical ventilation or vasopressors or inotropes; trauma, burn, organ transplant, stroke and neurosurgical patients excluded
Participants
77,132 ICU survivors
Exposure
Cluster 1 vs Cluster 2 vs Cluster 3
Outcome
Days spent at home
Follow-up
1 year after discharge
Methodological detailsnationwide database, state sequence analysis, unsupervised clustering
  • Nationwide database
  • State sequence analysis
  • Unsupervised clustering

Main finding

As reported in the abstract

Days at home in the year after discharge (patients who returned home) · 1 year

Returned home

89%

Median days at home (IQR 283-349)

330

Observational data: associations, not effects.

Further findings

Days at home by post-ICU trajectory cluster · 1 year

Share of total Cluster 1 68% · Cluster 2 18% · Cluster 3 14%

Returned home Cluster 2 91% · Cluster 3 37%

Status at 1 year

Still at home
77%
Died
17%

Health care use after ICU · 1 year

Re-hospitalized
51%
Further ICU admission
10%
Rehabilitation facilities
48%
Hospital at home
5.7%

Original publication

Days Spent at Home and Mortality After Critical Illness: A Cluster Analysis Using Nationwide Data. Chest. Published 17 October 2022. doi:10.1016/j.chest.2022.10.008

Composed by AI from the published abstract and checked against it. How Briefs are made →

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