ICU sedation, delirium & recovery

Three-year mortality of ICU survivors with sepsis, an infection or an inflammatory illness: an individually matched cohort study of ICU patients in the Netherlands from 2007 to 2019

Crit CarePublished Retrospective cohort study

Authors' conclusion

Both sepsis and non-sepsis infection patients had a significantly increased hazard rate of death in the 3 years after hospital discharge compared with patients with an inflammatory illness.

Study context

Population
Adult ICU survivors discharged alive from hospital, admitted 2007–2019 to 78 Dutch ICUs (NICE registry), classified by APACHE IV admission diagnoses78 Dutch ICUs
Participants
10,000 / 10,000 / 9,997
Exposure
Sepsis vs Infection vs Inflammatory illness
  • Sepsisn = 10,000reference
  • Infectionn = 10,000
  • Inflammatory illnessn = 9,997
Outcome
Mortality after hospital discharge
Follow-up
3 years
Methodological detailsindividually matched, multicentre, registry linked to insurance claims database, sensitivity analyses
  • Individually matched
  • Multicentre
  • Registry linked to insurance claims database
  • Sensitivity analyses

Main finding

As reported in the abstract

Three-year mortality after discharge
Each group vs sepsisAdjusted hazard ratio (95% CI)
Infection
1.00(0.95–1.05)
Inflammatory illness
0.88(0.83–0.94)

Observational data: associations, not effects.

Original publication

Three-year mortality of ICU survivors with sepsis, an infection or an inflammatory illness: an individually matched cohort study of ICU patients in the Netherlands from 2007 to 2019. Crit Care. Published 19 November 2024. doi:10.1186/s13054-024-05165-x

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