Author/Authors :
Heo, Jeongwon Department of Internal Medicine - Kangwon National University Hospital - Chuncheon, Korea , Hong, Yoonki Department of Internal Medicine - Kangwon National University School of Medicine, Korea , Han, Seon-Sook Department of Internal Medicine - Kangwon National University School of Medicine, Korea , Kim, Woo Jin Department of Internal Medicine - Kangwon National University School of Medicine, Korea , Kwon, Jae-Woo Department of Internal Medicine - Kangwon National University School of Medicine, Korea , Moon, Ki Won Department of Internal Medicine - Kangwon National University School of Medicine, Korea , Jeong, Jae Hoon Kangwon National University - Chuncheon, Korea , Kim, Young-Ju Kangwon National University - Chuncheon, Korea , Lee, Seung-Hwan Department of Neurology - Kangwon National University School of Medicine - Chuncheon, Korea , Lee, Seung-Joon Department of Internal Medicine - Kangwon National University School of Medicine, Korea
Abstract :
Background: There are few studies on intensive care unit (ICU) patients in the Republic of
Korea. We analyzed the characteristics and mortality changes of all ICU patients over the last
8 years.
Methods: This study used the cohort of the National Health Insurance Corporation, which
provides medical care to all residents of the Republic of Korea. The cohort consists of patients
aged 20 years or older between 2003 and 2010 with a history of ICU admission. We analyzed
changes in sex, age, household income, number of hospital beds, emergency admissions, and
reasons for admission using the Cochran–Armitage trend test. The adjusted hazard ratios
(HRs) of mortality according to these variables and year of admission were calculated by Cox
proportional hazards regression.
Results: The proportion of patients aged ≥70 years increased over that period, as did their
average age (by 3.6 years). During the 8-year study period, the 3-year mortality rate was
32.91%–35.83%. The overall mortality was higher in males and older patients, in those with a
lower household income and higher Charlson Comorbidity Index (CCI) score, those admitted
to a hospital with a smaller number of beds, and those admitted via the emergency room.
There was no significant change in crude mortality rate over the 8-year study period; however, the adjusted HR showed a decreasing trend.
Conclusions: Patients admitted to the ICU were older and had higher CCI score. Nevertheless,
there was a temporal trend toward a decrease in the HR of long-term mortality.
