ArticleCritical care medicine2020
National Trends and Variation of Functional Status Deterioration in the Medically Critically Ill.
Article in Critical care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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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.
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Who cites it
10 citing papers in PubMed, 21 citations in OpenAlex.
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- Using Electronic Health Records to Identify the Daily Primary Provider During Hospitalization.Critical care explorations · 2024Article
- Development and validation of early prediction models for new-onset functional impairment in patients after being transferred from the ICU.Scientific reports · 2024Article
- Impact of sepsis on Eastern Cooperative Oncology Group performance status among fully ambulatory patients: a prospective nationwide multicenter cohort.Journal of thoracic disease · 2023Article
- Predictors of discharge disposition and mortality following hospitalization with SARS-CoV-2 infection.PloS one · 2023Article
- Development and validation of early prediction models for new-onset functional impairment at hospital discharge of ICU admission.Intensive care medicine · 2022Article
- Serum Levels of Acylcarnitines and Amino Acids Are Associated with Liberation from Organ Support in Patients with Septic Shock.Journal of clinical medicine · 2022Article
- Morbidity and Mortality Trends of Pancreatitis: An Observational Study.Surgical infections · 2021Observational
- Discordant Cardiopulmonary Resuscitation and Code Status at Death.Journal of pain and symptom management · 2021Article
- Functional Loss and Resilience in Intensive Care.Critical care medicine · 2020Article
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesPhysical and psychologic deficits after an ICU admission are associated with lower quality of life, higher mortality, and resource utilization. This study aimed to examine the prevalence and secular changes of functional status deterioration during hospitalization among nonsurgical critical illness survivors over the past decade.
designWe performed a retrospective longitudinal cohort analysis.
settingAnalysis performed using the Cerner Acute Physiology and Chronic Health Evaluation outcomes database which included manually abstracted data from 236 U.S. hospitals from 2008 to 2016. PATIENTS: We included nonsurgical adult ICU patients who survived their hospitalization and had a functional status documented at ICU admission and hospital discharge. Physical functional status was categorized as fully independent, partially dependent, or fully dependent.
interventionsNone. MEASUREMENTS AND MAIN
resultsFunctional status deterioration occurred in 38,116 patients (29.3%). During the past decade, functional status deterioration increased in each disease category, as well as overall (prevalence rate ratio, 1.15; 95% CI, 1.13-1.17; p < 0.001). Magnitude of functional status deterioration also increased over time (odds ratio, 1.03; 95% CI, 1.03-1.03; p < 0.001) with hematological, sepsis, neurologic, and pulmonary disease categories having the highest odds of severe functional status deterioration.
conclusionsFollowing nonsurgical critical illness, the prevalence of functional status deterioration and magnitude increased in a nationally representative cohort, despite efforts to reduce ICU dysfunction over the past decade. Identifying the prevalence of functional status deterioration and primary etiologies associated with functional status deterioration will elucidate vital areas for further research and targeted interventions. Reducing ICU debilitation for key disease processes may improve ICU survivor mortality, enhance quality of life, and decrease healthcare utilization.
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