ICU sedation, delirium & recovery
Days Spent at Home and Mortality After Critical Illness: A Cluster Analysis Using Nationwide Data
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
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