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A Population-Based Observational Study of Intensive Care Unit–Related Outcomes

Allan Garland, Kendiss Olafson, Clare D. Ramsey, Marina Yogendran, and Randall Fransoo

Annals of the American Thoracic Society

Medical Research

Media Originally for:

Critical Care Physicians, General Medical Professionals, Nurses and/or Other Critical Care Medical Professionals


Rationale: Many studies of critical illness outcomes have been restricted to short-term outcomes, selected diagnoses, and patients in one or a few intensive care units (ICUs).
Objectives: Evaluate a range of relevant outcomes in a population-based cohort of patients admitted to ICUs.
Methods: Among all adult residents of the Canadian province of Manitoba admitted to ICUs over a 9-year period, we assessed ICU, hospital, 30-day, and 180-day mortality rates; ICU and hospital lengths-of-stay; post-hospital use of hospital care, ICU care, outpatient physician care, medications, and home care; and post-hospital residence location. We explored data stratified by age, sex, and separate categories of geocoded income for urban and rural residents. For post-hospital use variables we compared ICU patients with those admitted to hospitals without the need for ICU care.
Measurements and Main Results: After ICU admission there was a high initial death rate, which declined between 30 and 180 days and thereafter remained at the lower value. Hospital mortality was 19.0%, with 21.7% dying within 6 months of ICU admission. Women had higher hospital mortality than men

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