Critically Ill Elderly Patient Mortality: Is Age a Risk Factor?

Akın, Sibel; Gündoğan, Kürşat; Coşkun, Ramazan; Yüksel, Recep Civan; Topaloğlu, Ulaş Serkan; Ozturk, Fahir; Guven, Muhammet; Sungur, Murat

doi:10.5152/dcbybd.2014.667

Cited by 6 publications

(7 citation statements)

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“…The admission diagnosis has also been reported as an important prognostic factor. 6 , 9 , 11 , 13 , 14 Cardiovascular, 6 respiratory, 13 gastrointestinal, 14 infectious, and cerebrovascular diseases constitute the most common admission diagnoses. However, admission diagnoses may vary with respect to ICU type and index patient population.…”

Section: Discussionmentioning

confidence: 99%

Clinical Features and Outcomes of Very Elderly Patients Admitted to the Intensive Care Unit: A Retrospective and Observational Study

Miniksar¹,

Özdemi̇r²

2021

Indian Journal of Critical Care Medicine

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A bstract Background In this study, we aim to describe clinical features and outcomes of very elderly (85 years old or older) patients and provide information about predictors of mortality and factors associated with the length of hospital stay (LOS). Materials and methods We reviewed retrospectively the files of patients over 85 years old and older who were admitted to the intensive care unit (ICU) of our training and research hospital between January 2017 and December 2018. Demographic and clinical findings, treatment modalities, and outcomes were recorded. The patients who died during the ICU stay were compared to the survivors, and factors associated with mortality and LOS in the intensive care were evaluated. Results We reviewed 2350 files, and 218 patients (58.3% females) were included. The rate of mortality was 81.7%. The factors independently associated with a higher rate of mortality were the acute physiology and chronic health evaluation (APACHE) II score; the need for mechanical ventilation (MV), or inotropic support; and the presence of coronary artery disease (CAD) or chronic kidney disease (CKD). A tracheostomy and a blood transfusion were inversely associated with mortality. We found an association between LOS and comorbidities (renal replacement, percutaneous gastrostomy, blood transfusion, and a tracheostomy). Conclusion The rate of survival in the intensive care was low among these very elderly intensive care patients. A higher APACHE II score; application of MV or inotropic support; and the presence of CAD or CKD were associated with a higher mortality rate. How to cite this article Miniksar OH, Özdemir M. Clinical Features and Outcomes of Very Elderly Patients Admitted to the Intensive Care Unit: A Retrospective and Observational Study. Indian J Crit Care Med 2021; 25(6):629–634.

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Section: Discussionmentioning

confidence: 99%

Clinical Features and Outcomes of Very Elderly Patients Admitted to the Intensive Care Unit: A Retrospective and Observational Study

Miniksar¹,

Özdemi̇r²

2021

Indian Journal of Critical Care Medicine

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“…The most common diagnosis at admission was reported as pneumonia in a study which evaluated 3,050 patients who had been hospitalized in ICUs because of respiratory causes (12). Likewise, Akın et al (13) reported that the most common diagnosis at admission was pneumonia in patients aged 65 years and over hospitalized in the medical ICU. Because our study was conducted in the respiratory ICU, our patient population most commonly comprised patients hospitalized for pneumonia and COPD exacerbations.…”

Section: Discussionmentioning

confidence: 99%

“…However, even though the predicted mortality rate and the APACHE II score were significantly higher in patients aged 65 years and over in our study, the mortality rates of both groups were similar. There are also studies in the literature stating that age is not separately effective on mortality (13,17,18). In various studies, it has been reported that age was not associated with poor prognosis in ICU patients, and prognosis was more likely related to disease severity and functional status before the onset of the disease (19,20).…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics and Factors Affecting Mortality in Elderly Patients Admitted to Respiratory Intensive Care Unit

Yazici¹,

Ceylan²,

Polatlı³

et al. 2020

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“…Akın ve ark. [8] yoğun bakımda yaşlı hasta mortalitesiyle ilgili yaptıkları çalışamada, SOFA skorundaki her bir artış için mortalite oranını 1.48 kat artmış olarak bulmuşlar ve yine aynı çalışmada, SOFA skorlama sisteminin mortaliteyi öngörmede APACHE II'den üstün olduğunu gözlemlemişlerdir. Fush ve ark.…”

Section: Discussionunclassified