ICU sedation, delirium & recovery

Definitions, epidemiology, and outcomes of persistent/chronic critical illness: a scoping review for translation to clinical practice

Crit CarePublished Scoping review with meta-analysis

Authors' conclusion

This scoping review synthesized many studies on PerCI/CCI, highlighting the serious impact of PerCI/CCI on patients' long-term outcomes.

Study context

Population
Adults with persistent critical illness (PerCI) or chronic critical illness (CCI); peer-reviewed original research published until May 31, 2024 (MEDLINE, Scopus)99 studies
Outcome
Definitions, epidemiology and outcomes of PerCI/CCI
Methodological detailsPRISMA-ScR
  • PRISMA-ScR

Pooled result

As reported in the abstract

Prevalence of PerCI/CCI
Prevalence among all ICU patients
11% (95% CI 10-12%)
Prevalence in sepsis
28% (22-34%)
Prevalence in trauma
24% (15-33%)
Prevalence in COVID-19
35% (20-50%)
Prevalence of CCI
17% (16-18%)
Prevalence of PerCI
18% (16-20%)

Further pooled results

Mortality of PerCI/CCI

In-hospital mortality
27% (26-29%)
One-year mortality
45% (32-58%)
In-hospital mortality, CCI
28% (26-30%)
In-hospital mortality, PerCI
26% (24-29%)

Functional outcomes

Generally poor, with many survivors requiring long-term care

Original publication

Definitions, epidemiology, and outcomes of persistent/chronic critical illness: a scoping review for translation to clinical practice. Crit Care. Published 28 December 2024. doi:10.1186/s13054-024-05215-4

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