Observational studyIntensive care medicine2014
Distinct determinants of long-term and short-term survival in critical illness.
Observational study in Intensive care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
41 citing papers in PubMed.
- Incidence, survival, and prevalence trends for myocardial infarction, stroke, hip fracture, and cancer across Swedish birth cohorts: a population-based register study.The Lancet regional health. Europe · 2026Article
- Improved agreement between in-hospital and time-delimited mortality by including hospice discharges.Annals of the American Thoracic Society · 2026Article
- The impact of community-acquired critical sepsis on long-term mortality and morbidity-a nationwide cohort study.Scientific reports · 2026Article
- Tibialis anterior pennation angle at ICU admission and 60-day mortality in critically ill patients: a prospective observational study.Frontiers in medicine · 2026Article
- Redefining success: Incorporating long-term survival outcomes into routine benchmarking.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025Article
- The L-shaped relationship between HALP score and one-year mortality in critically ill surgical patients: a retrospective cohort study.Scientific reports · 2025Article
- Health-related quality of life, physical and mental capacity at one year follow up of COVID-19 ICU patients: A prospective cohort study.Journal of patient-reported outcomes · 2025Article
- End-of-life decision disparities according to the gross national income in critically ill patients: a secondary analysis of the ETHICUS-2 study.Annals of intensive care · 2025Article
- 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.Critical care (London, England) · 2024Article
- Early Mortality Stratification with Serum Albumin and the Sequential Organ Failure Assessment Score at Emergency Department Admission in Septic Shock Patients.Life (Basel, Switzerland) · 2024Article
- One-year survival after admission in the intensive care unit: a retrospective cohort study.Revista da Associacao Medica Brasileira (1992) · 2024Observational
- Pathophysiology and Therapeutic Management of Bone Loss in Patients with Critical Illness.Pharmaceuticals (Basel, Switzerland) · 2023Review
- Do critical illness survivors with multimorbidity need a different model of care?Critical care (London, England) · 2023Review
- Twelve-month mortality outcomes for Indigenous and non-Indigenous people admitted to intensive care units in Australia: a registry-based data linkage study.The Medical journal of Australia · 2023Article
- Predictors of 30-day mortality after endovascular thrombectomy for large vessel occlusion in the elderly.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023Article
- Prognostic factors for late death in septic shock survivors: a multi-center, prospective, registry-based observational study.Internal and emergency medicine · 2022Observational
- Immunological risk factors for sepsis-associated delirium and mortality in ICU patients.Frontiers in immunology · 2022Article
- Predictors of death and new disability after critical illness: a multicentre prospective cohort study.Intensive care medicine · 2021Article
- Long-term kidney function of patients discharged from hospital after an intensive care admission: observational cohort study.Scientific reports · 2021Observational
- The performance of acute versus antecedent patient characteristics for 1-year mortality prediction during intensive care unit admission: a national cohort study.Critical care (London, England) · 2020Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo identify the determinants of short-term and long-term survival in adult patients admitted to intensive care units (ICUs).
methodsThis population-based, observational cohort study included all eleven adult ICUs in the Winnipeg Health Region of Manitoba, Canada, analyzing initial ICU admissions during the period 1999-2010 of all Manitobans ≥17 years old. Analysis included Kaplan-Meier survival curves and multivariable regression models of 30-day mortality and post-90-day survival among those who survived to day 90. We used likelihood ratios to compare the predictive power of clusters of variables in these models.
resultsAfter 33,324 initial ICU admissions, mortality rates within 30 and 90 days were 15.9 and 19.5 %, respectively. The survival curve demonstrated an early phase with a high rate of death, followed by a markedly lower death rate that was only clearly established after several months. 30-day mortality was predominantly determined by characteristics of the acute illness; with its relative contribution set at 1.00, the next largest contributors were age (0.19) and comorbidity (0.16). In contrast, post-90-day mortality was mainly determined by age (relative contribution 1.00) and comorbidity (0.95); the next largest contributor was characteristics of acute illness (0.28).
conclusionsWe observed two phases of survival related to critical illness. Short-term mortality was mainly determined by the acute illness, but its effect decayed relatively rapidly. Mortality beyond 3 months, among those who survived to that point, was mainly determined by age and comorbidity. Recognition of these findings is relevant to discussions with patients and surrogates about achievable goals of care.
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