ICU sedation, delirium & recovery

Institution-free days after critical illness: A multicenter retrospective study

J Crit CarePublished Retrospective cohort study

Authors' conclusion

IFD is a simple, easily measurable patient-centered outcome that varies depending on the definition used.

Study context

Population
Adult patients admitted to four ICUs of North Brisbane, Australia
Participants
25,371 ICU admissions
Exposure
Three definitions of institution-free days (IFD) differing in handling of death and censoring of after-hospital deaths
Outcome
Institution-free days (IFD) under three definitions
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Distribution of IFD

Mean IFD, lowest across definitions (SD 151.3)

253

Mean IFD, highest across definitions (SD 116.2)

295

Observational data: associations, not effects.

Further findings

Determinants of IFD (age, illness severity, comorbidities index, elective status, surgical/medical admission, treatment limitations)

All six pre-specified variables significantly associated with IFD; magnitude of effect varied with definition (multivariable zero-inflated negative binomial regression)

Original publication

Institution-free days after critical illness: A multicenter retrospective study. J Crit Care. Published 12 January 2023. doi:10.1016/j.jcrc.2023.154253

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.