Skip to main content
Log in

Predictors of death following ICU discharge

  • Originals
  • Published:
Intensive Care Medicine Aims and scope Submit manuscript

Abstract

In order to study possible predictors of early after-discharge mortality (EADM), 700 consecutive patients discharged alive from three intensive care units (ICUs) were followed up 2 months after their admission. The observed mortality was 7.3%. Univariate analysis indicated a strong statistically significant association of the following variables with mortality: initial simplified acute physiological score (SAPS)>10, therapeutic intervention score in the first 24 h of admission >20, age ≥65, length of stay in the ICU>10 days, and low educational level. The multiple logistic regression analysis included as predictive independent variables the SAPS, organs or systems failure, age, and length of stay. The model built upon these four variables was able to identify a group of patients at high risk (21–46%) of EADM. We conclude that some simple variables can be used as useful markers of patients groups at high risk of EADM.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Latour J, Rodriguez M, Lopez V (1989) El proyecto MUNS: un estudio sobre desigualdades en salud en la Comunidad Valenciana. Valencia, Conselleria de Sanitat i Consum. IVESP

  2. Le Gall, Loirat P, Alperovitch A (1983) Simplified acute physiological score for intensive care patients. Lancet II:741

    Article  Google Scholar 

  3. Keene AR, Cullen DJ (1983) Therapeutic intervention scoring system: update 1983. Crit Care Med 11:1–3

    Article  PubMed  CAS  Google Scholar 

  4. Le Gall JR, Brun-Buisson C, Trunet P et al (1982) Influence of age, previous health status, and severity of acute illness on outcome from intensive care. Crit Care Med 10:575–577

    Article  PubMed  Google Scholar 

  5. Department of Health and Social Security (1980) Inequalities in health. (The Black report). Report of a research working group chaired by Sir Douglas Black. London. Department of Health and Social Security

    Google Scholar 

  6. Miettinen OS (1976) Estimability and estimation in case-referent studies. Am J Epidemiol 100:226–235

    Google Scholar 

  7. Dixon WJ (1981) BMDP statistical software. University of California Press, Berkeley, pp 330–344

    Google Scholar 

  8. Abizanda R, Marse M, Bergada J et al. (1983) Seguimiento al cabo de un año de 200 pacientes ingresados en una UCI general. Med Intensiva 7:238–243

    Google Scholar 

  9. Cullen DJ, Ferrara LC, Briggs BA et al (1976) Survival, hospitalization charges and follow-up results in critically ill patients. N Engl J Med 294:982–987

    Article  PubMed  CAS  Google Scholar 

  10. Bams JL, Maranda DR (1985) Outcome and costs of intensive care. A follow-up study on 238 ICU patients. Intensive Care Med 11:234–240

    Article  PubMed  CAS  Google Scholar 

  11. Cullen DJ, Keene R, Waternaux C et al. (1984) Results, charges and benefits of intensive care for critically ill patients: update 1983. Crit Care Med 12:102–106

    Article  PubMed  CAS  Google Scholar 

  12. Galdós P, Millan I, Algora A (1986) Nivel de gravedad de los enfermos críticos como método descriptivo. Estudio multicéntrico con el sistema SAPS. Med Intensiva 10:255–258

    Google Scholar 

  13. Monsalve F, Abizanda R, Roca J et al (1986) Asistencia terapeutica en las unidades de medicina intensiva. Características descriptivas de la población estudiada en base a los niveles de asistencia exigidos. Med Intensiva 10:265–268

    Google Scholar 

  14. Sage WM, Rosenthal MH, Silverman JF (1986) Is intensive care worth it?—An assessment of input and outcome for the critically ill. Crit Care Med 14:777–782

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This work was supported by grant no. 87/1527 from the Fondo de Investigaciones Sanitarias de la Seguridad Social, Spain

Rights and permissions

Reprints and permissions

About this article

Cite this article

Latour, J., Lopez-Camps, V., Rodriguez-Serra, M. et al. Predictors of death following ICU discharge. Intensive Care Med 16, 125–127 (1990). https://doi.org/10.1007/BF02575307

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02575307

Key words

Navigation