To assess 3-year outcomes for Medicare beneficiaries who survive intensive care. A matched, retrospective cohort study was conducted using a 5% sample of Medicare beneficiaries older than 65 years. A random half of all patients were selected who received intensive care and survived to hospital discharge in 2003 with 3-year follow-up through 2006.
Full Answer
How many Medicare beneficiaries receive intensive care in the United States?
Objective: To assess 3-year outcomes for Medicare beneficiaries who survive intensive care. Design, setting, and patients: A matched, retrospective cohort study was conducted using a 5% sample of Medicare beneficiaries older than 65 years. A random half of all patients were selected who received intensive care and survived to hospital discharge in 2003 with 3-year follow-up …
How many elderly Medicare beneficiaries survive to hospital discharge after intensive care?
Mar 03, 2010 · Discharge to a skilled care facility remained a strong independent predictor of both 6-month and 3-year mortality for all ICU survivors and hospital controls (6-month mortality: 24.1% for ICU survivors and hospital controls discharged to skilled care vs 7.5% for ICU survivors and hospital controls discharged to home care [AHR, 2.62; 95% CI, 2.50-2.74]; 3-year mortality: …
Does ICU length of stay affect mortality in elderly hospital survivors?
To assess 3-year outcomes for Medicare beneficiaries who survive intensive care. A matched, retrospective cohort study was conducted using a 5% sample of …
What is the mortality rate of sepsis in the ICU?
Mar 01, 2010 · There were 35,308 intensive care unit (ICU) patients who survived to hospital discharge. The ICU survivors had a higher 3-year mortality (39.5%; n = 13,950) than hospital controls (34.5%; n = 12,173) (adjusted hazard ratio [AHR], 1.07 [95% confidence interval {CI}, 1.04-1.10]; P < .001) and general controls (14.9%; n = 5266) (AHR, 2.39 [95% CI, 2.31-2.48]; P < .001).
What is palliative care?
Palliative care is an interprofessional specialty and an approach to care that focuses on improving the quality of life of patients and their families who are facing serious illness. Palliative care can address many domains of symptoms and needs that are important to patients and families of critically ill patients including symptom assessment and management, communication to establish goals of care, alignment of treatments with patient preferences, attention to psychosocial and spiritual needs of both patients and their families, and planning for care transitions. Given these goals, palliative care principles and services can potentially benefit not only patients who are critically ill but also those who survive critical illness as many patients and families have palliative care needs that extend for months or years after critical illness. Older adults, people with fraility, and those with chronic critical illness might benefit most from palliative care services after critical illness. Several opportunities exist to integrate palliative care into post-ICU recovery either through integration into post-ICU clinics or in the delivery of community-based palliative care services, including enhancing communication to establish goals of care, aligning treatment plans with patient preferences for future medical care, supporting families, and helping plan and coordinate care transitions, and encouraging advance care planning.
What is PICS in nursing?
Post-intensive care syndrome (PICS) is a complex constellation of cognitive, physical, and psychological impairments that impact survivors of critical illness, leading to disability, frailty, and poor quality of life . Numerous interventions have been studied to reduce the impact of the syndrome. A coordinated and synergistic bundle of care, called the ABCDEF bundle, has been shown to improve mortality and reduce many of the complications of critical illness including ICU readmissions and discharges to nursing homes and rehabilitation facilities. The bundle combines evidence-based and refined processes of care in sedation and analgesia management, weaning protocols from mechanical ventilation, delirium prevention and treatment, early mobilization, and family engagement to improve outcomes and reduce the burden of PICS amongst ICU survivors.
How much does a critical care nurse make?
Salaries for critical care nurses range from $66,316 to $79,962, but these salaries vary widely depending on education, certifications, additional skills, and number of years spent in the profession.
What is HCRIS data?
HCRIS data include U.S. government-based Medicare and Medicaid use. HCRIS has no data on observation, step-down, or progressive beds.
What is SCCM in healthcare?
SCCM maintains that multidisciplinary care teams led by intensivists (physicians trained and credentialed in critical care medicine [CCM]) are essential to critical care delivery, improve conditions for healthcare providers, and boost hospitals’ financial performance.