Hospital and 1-year survival of patients admitted to intensive care units with acute exacerbation of chronic obstructive pulmonary disease

Article Abstract:

Severe respiratory dysfunction on admission and the development of nonrespiratory organ dysfunction appear to predict mortality in patients with an exacerbation of chronic obstructive pulmonary disease (COPD) who are admitted to an intensive care unit. Researchers determined short-term and long-term mortality in 362 COPD patients admitted to ICUs in 40 US hospitals. Nine percent of the patients died in the ICU and 23.8% died before discharge from the hospital. Almost half the patients were placed on a ventilator. In a subgroup of 167 patients 65 or older, mortality rates were 30% at discharge, 42% at 90 days, 48% at 180 days and 59% at one year. Respiratory dysfunction on admission was associated with higher mortality rates over the long term. On the other hand, ventilation was associated with higher mortality rates in the short term, but not over the long term.

Health aspects, Lung diseases, Obstructive, Chronic obstructive lung disease

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Variations in mortality and length of stay in intensive care units

Article Abstract:

In-hospital mortality rates and average length of stay may vary between different hospital intensive care units (ICU). A study examined in-hospital mortality and average length of stay among 16,622 patients admitted to 42 ICUs in 40 different hospitals. The in-hospital mortality rate varied from 6% to 40%. Differences in patient characteristics at the time of admission were responsible for 90% of this variation. The average length of stay in the ICU ranged from three days to seven days. Seventy-eight percent of this variation was caused by differences in patient characteristics and certain hospital characteristics. Taking into regard differences in patient characteristics, physicians may use in-hospital mortality rates and average length of stay to compare the quality of care at different hospital ICUs.

Statistics

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Older Age, Aggressiveness of Care, and Survival for Seriously Ill, Hospitalized Adults

Article Abstract:

Older patients have higher mortality rates and it isn't just because they may receive less aggressive treatment. In a study of 9,105 hospital patients who were seriously ill, mortality rates were higher in those over 70 years old regardless of how aggressively they were treated. Over the age of 70, each additional year of age increased the risk of death by 2%.

Demographic aspects, Aged patients, Elderly patients

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