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Table 3 Long-term functional outcome

From: Caring for the critically ill patients over 80: a narrative review

References

Tool

Design

Age-group

Patient followed

Main results

Comparison with baseline data (ICU admission)

Kass [123]

ADL

Prospective and retrospective

> 80 years

38/105 (36.1%)

Nonsignificant decline of ADL score at 1 year

Yes

Chelluri [124]

ADL

Prospective

> 75 years, 65–74 years)

96

18/54 (33%)

20/43 (46.5%)

No difference between two age-groups at 1, 6, 12 months

Yes

Method?

Broslawski [125]

ADL, IADL, GDS

Prospective

> 70 years

27/45 (60%)

Changes at 6 months related to ICU LOS and severity but not to age

Yes

Method?

Montuclard [126]

ADL

Retrospective

> 70 years with 30 days of MV

30/75 (40%)

Decrease in all domains except feeding at 6 months

Retrospective estimation by the patient

Udekwu [127]

ADL

Retrospective

> 70 years

342/672 (50.8%)

At 21 months, significant decrease in ADL with more dependent patients

Yes

Method?

Garrouste-Orgeas [37]

ADL

Prospective

≥ 80 years

9/48 (18%)

No change

Retrospective estimation by the patient

Kaarlola [119]

EQ-5D SF-36

Retrospective (in survivors)

65–69 years

70–74 years

75–79 years

80–94 years

114

117

91

50

More than 50% assessed their overall health status as satisfactory. Largest % in those ≥ 80

No

Tabah [128]

ADL

Prospective

≥ 80 years

23/106 (21%)

No change

74% of patients were fully independent

Prospective estimation by the patient or relatives

Boumendil [109]

ADL

Prospective

≥ 80 years

162/329

At 6 months

16.2% were unable to perform at least one activity that they had been able to perform at the time of the ED visit

Prospective estimation by the patient or relatives

Andersen [129]

EQ-5D

Retrospective

≥ 80

58/395

HRQOL comparable with a comparison group (1 year)

 

Andersen 2017 [68]

EQ-5D

Prospective

≥ 80

62/250

Lower HRQOL than a comparison group (1 year)

Compared with a age and gender reference population n = 179

Heyland [104]

SF-36 (physical function)

Prospective

≥ 80

505/610

50% dead and 26% achieved physical recovery at 12 months

PF compared with baseline values at admission

Level 2017 [130]

ADL, Barthel index

Prospective

≥ 75

65/188

83% of 1-year survivors lived in their own home

ADL compared with baseline at admission

Guidet [110]

ADL

Prospective

≥ 75 years

1528/3036

Selection criteria: preserved baseline ADL (median 6)

At 6 months, decrease in ADL of 0.5 points

Prospective estimation by the patient or relatives