ICU sedation, delirium & recovery

The Impact of Centrally Acting Drug Burden at Discharge on Long-Term Outcomes Among ICU Survivors

Crit Care MedPublished Secondary analysis of three prospective cohort studies

Authors' conclusion

Within our cohort of ICU survivors, we did not find a significant association of centrally acting drug burden measured by the DBI with long-term cognitive impairment, physical disability, or 90-day mortality.

Study context

Population
Adults with respiratory failure and/or shock discharged alive from the ICU478 cognitive, 490 physical data
Participants
676 adults
Comparison
Association of centrally acting drug burden (drug burden index (DBI)) at hospital discharge with long-term outcomes
Methodological detailssingle-centre, tertiary academic medical center
  • Single-centre
  • Tertiary academic medical center

Primary result

As reported in the abstract

Discharge DBI and long-term outcomes
Discharge DBIEstimate (95% CI)P value
Long-term cognitive impairment
OR 1.25(0.89–1.76)
P = 0.20
Katz ADL
OR 1.08(0.80–1.44)
P = 0.62
FAQ
OR 1.15(0.89–1.49)
P = 0.29
90-day mortality
HR 0.87(0.61–1.23)
P = 0.42

Further findings

Median DBI during hospitalization

Median DBI at admission
1.96
Median DBI at ICU transfer
2.42
Median DBI at hospital discharge
3.08

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

Original publication

The Impact of Centrally Acting Drug Burden at Discharge on Long-Term Outcomes Among ICU Survivors. Crit Care Med. Published 9 June 2026. doi:10.1097/ccm.0000000000007225

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