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. 2013 Aug;10(4):315–323. doi: 10.1513/AnnalsATS.201211-099OC

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.