Cardiac arrest & resuscitation

Mortality Trends Across Key Diagnostic Groups in Australian and New Zealand ICUs Over the Past 30 Years

Crit Care MedPublished Retrospective cohort study

Authors' conclusion

There have been substantial improvements in risk-adjusted mortality among ICU patients over the past 30 years; however, this improvement has plateaued recently.

Study context

Population
Adults (≥ 16 yr) admitted to Australian and New Zealand ICUs contributing to the And New Zealand Intensive Care Society (ANZICS) Adult Patient Database (APD), January 1993 to December 2022
Participants
2,838,654 adults · 209 ICUs
Exposure
Risk-adjusted mortality across study decades by diagnostic group
Outcome
Risk-adjusted mortality
Methodological detailsbinational registry (ANZICS APD)
  • Binational registry (ANZICS APD)

Main finding

As reported in the abstract

Third decade vs First decadeOdds ratio (CI)
Cardiac arrest (greatest improvement)
0.82(0.81–0.83)
Pneumonia (least improvement)
0.87(0.87–0.88)

Observational data: associations, not effects.

Further findings

Age

At least one major comorbidity

OutcomeFirst decadeFinal decade
APACHE III score45.6 (SD 28.1)50.9 (SD 24.1)

Diagnostic groups with highest mortality rates

Cardiac arrest
53.6%
Stroke and intracranial hemorrhage
34.8%
Subarachnoid hemorrhage
21.2%
Pneumonia
19.2%
Sepsis
19%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Mortality Trends Across Key Diagnostic Groups in Australian and New Zealand ICUs Over the Past 30 Years. Crit Care Med. Published 14 August 2025. doi:10.1097/ccm.0000000000006817

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

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