Conclusions There is considerable variability in the type of measures utilized to measure physical impairments and limitations in survivors of critical illness .
Purpose To identify measures used to evaluate the broad constructs of functional impairment and limitations in the critically ill across the continuum of recovery , and to evaluate , synthesis e and compare the clinimetric properties of the measures identified .
Outcome of older patients requiring ventilatory support in intensive care: impact of nutritional status.
OBJECTIVES To determine predictors of mortality in the intensive care unit ( ICU ) and at 6 months after discharge ; to assess the lifestyles of survivors 6 months after discharge . DESIGN Prospect i ve cohort study of patients screened upon admission and 6 months after discharge from the ICU . SETTING The ICU of a university hospital . PARTICIPANTS One hundred sixteen consecutive patients age 70 and older admitted to the ICU and treated by mechanical ventilation for at least 24 hours . MEASUREMENTS A comprehensive medical , functional , nutritional , and social assessment  was undertaken for each patient upon admission to the ICU . Functional status and residence were recorded for patients still living 6 months after discharge from the ICU . RESULTS Mortality in the ICU and 6 months after discharge was 31 % and 52 % , respectively . The predictors of in-ICU mortality on multivariate analysis were a high omega score per day in the ICU and a high simplified acute physiologic score corrected for points related to age ( SAPS IIc ) . The predictors of mortality at 6 months were a high omega score per day in the ICU , a high SAPS IIc , and a mid-arm circumference ( MAC ) under the 10th percentile for the older French population in good health . Six months after discharge from the ICU , 91 % of the surviving patients had the same residential status and 89 % had a similar or improved functional status compared with pre-admission status . CONCLUSIONS Although severity of illness remains an important predictor of in-ICU mortality and mortality at 6 months after release from ICU , we found that impaired nutritional status upon admission was related to 6-month mortality . These results emphasize the need for a systematic nutritional assessment in older patients admitted to the ICU and treated by mechanical ventilation
Conclusions There is considerable variability in the type of measures utilized to measure physical impairments and limitations in survivors of critical illness .
Purpose To identify measures used to evaluate the broad constructs of functional impairment and limitations in the critically ill across the continuum of recovery , and to evaluate , synthesis e and compare the clinimetric properties of the measures identified .