Abstract:
:Purpose. The long-term outcomes of patients after discharge from tertiary ICUs as they relate to the public versus private healthcare systems in Brazil have not yet been evaluated. Materials and Methods. A multicenter prospective cohort study was conducted to compare the all-cause mortality and the physical functional status (PFS) 24 months after discharge from the ICU between adult patients treated in the public and private healthcare systems. A propensity score- (PS-) matched comparison of all causes of mortality and PFS 24 months after discharge from the ICU was performed. Results. In total, 928 patients were discharged from the ICU including 172 (18.6%) patients in the public and 756 (81.4%) patients in the private healthcare system. The results of the PS-matched comparison of all-cause mortality revealed higher mortality rates among the patients of the public healthcare system compared to those of the private healthcare system (47.3% versus 27.6%, P = 0.003). The comparison of the PS-matched Karnofsky performance and Lawton activities of daily living scores between the ICU survivors of the public and private healthcare systems revealed no significant differences. Conclusions. The patients of private healthcare system exhibited significantly greater survival rates than the patients of the public healthcare system with similar PFS following ICU discharge.
journal_name
Biomed Res Intjournal_title
BioMed research internationalauthors
Dexheimer Neto FL,Rosa RG,Duso BA,Haas JS,Savi A,Cabral Cda R,Maccari JG,de Oliveira RP,Antônio AC,Castro Pde S,Teixeira Cdoi
10.1155/2016/6568531subject
Has Abstractpub_date
2016-01-01 00:00:00pages
6568531eissn
2314-6133issn
2314-6141journal_volume
2016pub_type
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