Table 2.
Outcomes of chronically critically ill study patients
Outcome | Not Delirious or Comatose* (N = 104) | Delirious or Comatose* (N = 281) | All (N = 385) | P Value† |
---|---|---|---|---|
Hospital length of stay, median (IQR), d | 57 (40–82) | 53 (42–73) | 54 (41–76) | 0.440‡ |
Multiple RCU complications | 25.5 | 41.2 | 36.9 | 0.005 |
Liberated from mechanical ventilation at RCU discharge | 62.5 | 42.7 | 48.1 | 0.001 |
Hospital discharge destination | <0.001§ | |||
Home | 28.2 | 8.9 | 14.1 | |
Rehabilitation facility | 19.4 | 5.4 | 9.1 | |
Nursing home or acute care hospital | 34.0 | 49.3 | 45.2 | |
Died in hospital | 18.5 | 36.1 | 31.3 | |
Cumulative mortality | ||||
RCU mortality | 12.5 | 22.8 | 20.0 | 0.025 |
Hospital mortality | 18.3 | 35.9 | 31.2 | 0.001 |
3-mo Mortality | 28.2 | 58.8 | 50.5 | <0.001 |
6- mo Postdischarge outcome|| | <0.001 | |||
Dead | 37.9 | 62.8 | 56.1 | |
Alive with LTBD | 30.1 | 27.8 | 28.4 | |
Alive without LTBD | 32.0 | 9.4 | 15.5 |
Definition of abbreviations: CAM-ICU = Confusion Assessment Method for the Intensive Care Unit; IQR = interquartile range; LTBD = long-term brain dysfunction; RCU = respiratory care unit.
Data presented as percentage except where noted.
Categories result from multiple assessments of brain dysfunction during RCU treatment: “Comatose” = patient assessed by the Richmond Agitation-Sedation Scale (RASS) as level −4 or −5 for ≥75% of the assessments; “Delirious” = patient with at least one episode of delirium by the CAM-ICU and <75% of assessments finding coma; “Not Delirious or Comatose” = patient had no episode of delirium, <75% of assessments finding coma, and at least one assessment of “not delirious” by CAM-ICU; “Other” = Not meeting criteria for any other category (N = 14), grouped here within the “comatose” category.
Chi-square test used except where noted.
Wilcoxon rank-sum test.
Fisher exact test, N = 383.
N = 375.