ICU sedation, delirium & recovery
Resilience, Survival, and Functional Independence in Older Adults Facing Critical Illness
Main finding · Post-ICU mortalityResult — go to the resultAdjusted hazard ratio 0.81 95% CI 0.70–0.94Authors' conclusion
ICU survivors with higher resilience had increased rates of survival and functional independence, although the slope of functional decline before vs after the ICU stay did not differ according to resilience group.
Study context
- Population
- Older adults aged ≥ 65 years admitted to an ICU, Medicare-linked Health and Retirement Study, 2006–2018
- Participants
- 3,409 adults
- Exposure
- Highest vs lowest pre-ICU resilience group
- Outcome
- Post-ICU survival and probability of functional independence
Methodological detailsMedicare-linked Health and Retirement Study surveys
- Medicare-linked Health and Retirement Study surveys
Main finding
Post-ICU mortality
Adjusted hazard ratio
0.81
95% CI 0.70–0.94
Highest resilience vs Lowest resilience
aHR 0.81 (95% CI 0.70–0.94)
As reported in the abstract
Observational data: associations, not effects.
Further findings
Estimated probability of functional independence · 5 years after ICU discharge
- Highest-to-lowest resilience groups: 0.53 (0.33-0.74), 0.47 (0.26-0.68), 0.49 (0.28-0.70), 0.36 (0.17-0.55); higher resilience associated with greater likelihood of post-ICU functional independence
- P < 0.01
Drop in independence during ICU stay; pre- vs post-ICU trend in predicted independence
- Resilience not associated with a difference
Original publication
Resilience, Survival, and Functional Independence in Older Adults Facing Critical Illness. Chest. Published 11 June 2024. doi:10.
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