ICU sedation, delirium & recovery

Five-year mortality and functional trajectories in older survivors of intensive care compared to the general population

Intensive Care MedPublished Observational cohort study

Authors' conclusion

Amongst adults aged 60-89 years, the impact of critical illnesses is still detectable 5 years after surviving intensive care.

Study context

Population
Individuals aged 60–99 years, members of a statutory health insurance organisation in Germany
Participants
3,261,169 individuals
Exposure
Older ICU survivors vs the general population
  • Survivorsn = 40,441
Outcome
Survival and functional trajectories
Follow-up
5 years
Methodological detailsclaims data, multi-state modelling
  • Claims data
  • Multi-state modelling

Main finding

As reported in the abstract

  • Excess mortality after ICU peaked in previously fit survivors aged 60-79 years, who also had higher risk of functional decline vs peers in the general population
  • Advanced age attenuated differences, which disappeared amongst nonagenarians

Observational data: associations, not effects.

Further findings

Transition from no functional deficit to mild-moderate deficits, by sex

Women at higher risk than men

Original publication

Five-year mortality and functional trajectories in older survivors of intensive care compared to the general population. Intensive Care Med. Published 17 November 2025. doi:10.1007/s00134-025-08163-x

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

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