ICU sedation, delirium & recovery

Long-term mortality of critically ill patients with cancer and delirium who survived to discharge: a retrospective cohort study

Can J AnaesthPublished Retrospective cohort study

Main finding · One-year mortality after hospital dischargeResult — go to the resultHazard ratio 1.58 95% CI 1.36–1.83

Authors' conclusion

We observed that delirium during ICU stay was associated with increased one-year mortality, but was not with mortality after one year.

Study context

Population
Adults with cancer admitted to the intensive care unit (ICU) and discharged from hospital, January 2015 to December 2018
Participants
3,079 adults
Exposure
Delirium vs no delirium during ICU stay
  • Deliriumn = 430
Outcome
Long-term mortality (up to three years after discharge)
Methodological detailsadjusted for potential confounders
  • Adjusted for potential confounders

Main finding

One-year mortality after hospital discharge · 1 year

Hazard ratio

1.58

95% CI 1.36–1.83

Delirium vs No delirium
HR 1.58 (95% CI 1.36–1.83)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
One to three-year mortality · 1–3 years0.92 (0.61–1.39)
One-year mortality by delirium type (hypoactive, mixed)Hypoactive delirium vs No delirium1.77 (1.46–2.14)
One-year mortality by delirium type (hypoactive, mixed)Mixed delirium vs No delirium1.56 (1.21–2.00)

One to three-year mortality by delirium motor type · 1–3 years

None of the delirium motor types associated with one to three-year mortality

Original publication

Long-term mortality of critically ill patients with cancer and delirium who survived to discharge: a retrospective cohort study. Can J Anaesth. Published 23 August 2023. doi:10.1007/s12630-023-02538-8

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