Madoff R D, Sharpe S M, Fath J J, Simmons R L, Cerra F B
Arch Surg. 1985 Jun;120(6):698-702. doi: 10.1001/archsurg.1985.01390300048008.
To determine factors related to outcome following prolonged stays in the surgical intensive care unit (ICU), we reviewed the charts of all 59 patients who required surgical ICU stays of one week or longer during 1982 (63 admissions). Overall ICU survival was 58.7% and varied inversely with acute illness severity, length of ICU stay, and hospital cost. The need for renal dialysis and prolonged mechanical ventilatory support were associated with bad outcomes. Age did not affect ICU survival. Follow-up survival was 33% of the original group or 56.8% of ICU survivors. Poor chronic health was associated with a high late mortality. The functional status of surviving patients was satisfactory, with 18 of 21 patients living independently. We conclude that there is significant survival following prolonged ICU therapy, and that, although identifiable factors related to outcome exist, none alone permit the discontinuation of therapy on an individual basis.
为确定与外科重症监护病房（ICU）长期住院后的预后相关的因素，我们回顾了1982年期间所有59例需要在外科ICU住院一周或更长时间的患者的病历（63次入院）。ICU总体生存率为58.7%，与急性疾病严重程度、ICU住院时间和医院费用呈负相关。需要肾透析和长期机械通气支持与不良预后相关。年龄不影响ICU生存率。随访生存率为原组的33%或ICU幸存者的56.8%。慢性健康状况差与高晚期死亡率相关。存活患者的功能状态令人满意，21例患者中有18例独立生活。我们得出结论，长期ICU治疗后有显著的生存率，并且，虽然存在与预后相关的可识别因素，但没有一个因素能单独允许在个体基础上停止治疗。
