Evaluation de l’Etat de Sante Avant et Apres Hospitalisation en Reanimation

Summary

To evaluate the results of a multidisciplinary intensive care unit (ICU) 228 patients (group I) have been prospectively studied and compared to a control group of 98 patients (group II) treated only in an intermediate unit. The health status (HS) was estimated A : good health, B : chronic and minor health problem with limited activity, C : chronic and major health problem with very decreased activity, D : institutionalized patient. Three months before ICU, then 1, 3 and 12 months after discharge, the HS was measured by physical examination or phone interview. Patients of group I had multiple organ failures and a level of therapy 4 times higher than in group II. Immediate survival rate was 67 per cent and 49 per cent after one year. Twenty per cent of surviving patients were still hospitalized three months after discharge. One year later 33 per cent of the 228 entering patients had a A or B health status level. All these results are significantly different from those of the control group.