ICU sedation, delirium & recovery
Post-ICU Care Trajectories and Outcomes Among Veterans: Comparing Veterans Affairs and Community Hospital Discharges
Authors' conclusion
Our results showed that patients discharged from VA hospitals received earlier primary care, but showed higher readmission and mortality, whereas patients discharged from community hospitals made fewer visits but more ED use
Study context
- Population
- Veterans discharged home after medical ICU admission, 2016–2023, Veterans Affairs (VA) Corporate Data Warehouse and VA-purchased care claims
- Participants
- 311,224 veterans
- Exposure
- VA hospitals vs Community hospitals
- Outcome
- Primary care follow-up
- Follow-up
- 30 days
Methodological detailscompeting-risks (Fine-Gray) models, Bayesian mediation analysis, state sequence clustering
- Competing-risks (Fine-Gray) models
- Bayesian mediation analysis
- State sequence clustering
Main finding
As reported in the abstract
Observational data: associations, not effects.
Further findings
Readmission · 90 days
Mortality
ED visits
Mediation by early primary care
- Early primary care protective but explained little of the VA-community difference
Recovery trajectories (state sequence clustering)
- Diverse patterns, from high primary care with low readmission to recurrent acute care use or early death
Original publication
Post-ICU Care Trajectories and Outcomes Among Veterans: Comparing Veterans Affairs and Community Hospital Discharges. Chest. Published 17 October 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →