OBJECTIVES: To determine the outcome and the prognostic factors among severe sepsis and septic shock (SS&SK) survivors one year after hospital discharge. METHODS: This was a retrospective and cross-sectional study of patients (≥18 years) admitted ≥24 hours between April 2007 and March 2010 for the first time to the medical-surgical and trauma intensive care unit (ICU) of a tertiary hospital and discharged from the hospital alive. For patients with more than one ICU admission within the same hospitalization, only first ICU admission was counted. Data obtained from an electronic ICU database, hospital information system and medical records. Additionally, We conducted telephonic interviews to evaluate vital status and performance at one year of hospital discharge using KARNOFSKY PERFORMANCE STATUS SCALE. Patients who had cardiac arrest were excluded from the study. RESULTS: The overall mortality rate was 35%. One-third (31%) of who were still survive at one year post  hospital discharge, suffer from significant (P<0.05) impairment of performance status. SS&SK survivors who had CHF had 3.4 times higher risk to die as compared to who did not had CHF. Pre-sepsis performance status and CHF were the independent prognostic factors for poor hospital outcomes on long term post hospital discharge in SS&SK survivors. CONCLUSIONS: About one third of patients die by one year, another one-third suffer from significant impairment of performance status. Pre-sepsis performance status and CHF were the independent prognostic factors in SS&SK survivors. This data highlights the need for different strategies for caring of SS&SK  survivors.