ICU sedation, delirium & recovery

Evaluation of the Impact of ABCDEF Bundle Compliance Rates on Postintensive Care Syndrome: A Secondary Analysis Study*

Crit Care MedPublished Secondary analysis of the J-PICS study

Authors' conclusion

The bundle compliance rate was not associated with PICS prevalence. However, 6-month mortality was lower with a higher bundle compliance rate. A trend toward a lower PICS prevalence was associated with higher bundle compliance in high-volume centers.

Study context

Population
Adult ICU patients expected to be on a ventilator for at least 48 hours, 14 centers and 16 ICUs in Japan, April–September 201996 with 6-month outcome data
Participants
191 patients
Comparison
Bundle compliance rate in patients with vs without postintensive care syndrome (PICS)
  • PICSn = 61
  • non-PICSn = 35reference
Primary endpoint
Association between ABCDEF bundle compliance rate (3-day average) and PICS prevalence
Follow-up
6 months
Methodological detailsmulticentre
  • Multicentre

Primary result

As reported in the abstract

Bundle compliance rate

PICS vs non-PICS: P = 0.61 · PICS vs non-PICS: P = 0.56

Further findings

Bundle compliance rate by 6-month mortality · significantly lower in the 6-month mortality group

P = 0.031

Bundle compliance rate by 6-month mortality — Total bundle compliance rate
69.8%

Mortality

In-hospital death
33 (17.3%)
Death within 6 months
48 (25.1%)

Correlation of bundle compliance rate with PICS prevalence, high-volume centers (subgroup)

Strong negative correlation, r
−0.84
R 2
0.71
p
P = 0.035

Original publication

Evaluation of the Impact of ABCDEF Bundle Compliance Rates on Postintensive Care Syndrome: A Secondary Analysis Study*. Crit Care Med. Published 23 June 2023. doi:10.1097/ccm.0000000000005980

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