Long-term treated intensive care XXXX outcomes: the one-year mortality rate, quality of life, health care use and long-term complications as reported by general practitioners.

@entity1 @entity1213
BACKGROUND: The purpose of this study was to determine the one-year mortality rate and its predictors regarding long-term intensive care-treated @entity1 together with their health-related quality of life (HRQL), place of living, healthcare use and long-term complication characteristics after @entity1213 ( @entity1213 ) discharge. METHODS: A retrospective cohort study was performed in a 20-bed mixed @entity1213 . The @entity1 that were treated for more than 72  h between 2007 and 2012 were included in this study. The one-year mortality rate was calculated, and the characteristics of the @entity1213 survivors that died within one year after @entity1213 discharge were further analysed. For all @entity1 , the Dutch version of the SF-36 questionnaire was used to assess their current HRQL. The results were compared with a normal population. Additionally, @entity1 were questioned about their place of living, and their general practitioners (GPs) were questioned about the @entity1 ' possible long-term complications. RESULTS: Seven hundred and forty @entity1 were included in this study, and their one-year mortality rate was 28  %, of which half died within the first week after @entity1213 discharge. The one-year mortality rate predictors included age at the time of @entity1213 admission, APACHE IV-predicted mortality score, number of comorbidities and @entity1213 re-admissions. The @entity1213 survivor HRQL was significantly lower compared with the normal population. Half of the @entity1 did not return to their pre-hospital place of living, and numerous possible long-term complications were reported, particularly decreased tolerance, chronic fatigue and processing problems of relatives. CONCLUSIONS: One-year mortality rate of long-term @entity1213 -treated @entity1 was 28  %, and this was predicted by age, disease severity, comorbidities and @entity1213 re-admissions. The @entity1213 survivors reported a lower HRQL, and a minority of these @entity1 returned home directly after hospital discharge; however, GPs reported numerous possible long-term complications.
