학술논문

Long term outcomes following critical care hospital admission: A prospective cohort study of UK biobank participants✰,★
Document Type
article
Source
The Lancet Regional Health. Europe, Vol 6, Iss , Pp 100121- (2021)
Subject
Recovery
Long-term outcomes
Intensive care and emotional
Public aspects of medicine
RA1-1270
Language
English
ISSN
2666-7762
Abstract
Background: : This study aimed to understand the impact of a critical care admission on long-term outcomes, compared to other hospitalised patients without a critical care encounter. A secondary aim was to examine the interrelationship between emotional, physical, and social problems during recovery. Methods: : We utilised data from the UK Biobank, an on-going, prospective population-based cohort study. We employed propensity score matching to assess differences in outcomes between patients with a critical care encounter and patients admitted to the hospital (first admission to hospital available) without critical care. Structural equation modelling was used to analyse emotional, physical and social outcomes following critical illness and the relationships between these health domains. Findings: : Data from 1,618 patients were analysed. The median time to follow-up in the critical care cohort was 4427 days (IQR:788–6146) vs 4516 days (IQR: 811–6369) in the non-critical care, hospitalised cohort. Across the two time periods assessed (pre and post 2000), patients exposed to critical care were more likely to experience mental health issues such as depression (p