Predictors of outcomes of patients ≥ 80 years old admitted to intensive care units in Poland - a post-hoc analysis of the VIP2 prospective observational study.

INTRODUCTION: Elderly patients pose a significant challenge to intensive care unit (ICU) clinicians. In this study we attempted to characterise the population of patients over 80 years old admitted to ICUs in Poland and identify associations between clinical features and short-term outcomes. MATERIAL AND METHODS: The study is a post-hoc analysis of the Polish cohort of the VIP2 European prospective observational study enrolling patients > 80 years old admitted to ICUs over a 6-month period. Data including clinical features, clinical frailty scale (CFS), geriatric scales, interventions within the ICU, and outcomes (30-day and ICU mortality and length of stay) were gathered. Univariate analyses comparing frail (CFS > 4) to non-frail patients and survivors to non-survivors were performed. Multivariable models with CFS, activities of daily living score (ADL), and the cognitive decline questionnaire IQCODE as predictors and ICU or 30-day mortality as outcomes were formed. RESULTS: A total of 371 patients from 27 ICUs were enrolled. Frail patients had significantly higher ICU (58% vs. 44.45%, P = 0.03) and 30-day (65.61% vs. 54.14%, P = 0.01) mortality compared to non-frail counterparts. The survivors had significantly lower SOFA score, CFS, ADL, and IQCODE than non-survivors. In multivariable analysis CFS (OR 1.15, 95% CI: 1.00-1.34) and SOFA score (OR 1.29, 95% CI: 1.19-1.41) were identified as significant predictors for ICU mortality; however, CFS was not a predictor for 30-day mortality ( P = 0.07). No statistical significance was found for ADL, IQCODE, polypharmacy, or comorbidities. CONCLUSIONS: We found a positive correlation between CFS and ICU mortality, which might point to the value of assessing the score for every patient admitted to the ICU. The older Polish ICU patients were characterised by higher mortality compared to the other European countries.

Bioactive compounds, total antioxidant capacity and yield of kiwiberry fruit under different nitrogen regimes in field conditions.

BACKGROUND: Actinidia arguta known as the 'kiwiberry' or 'mini kiwi' is relatively new among the cultivated berry species. Recent studies indicate the kiwiberry fruit could be an important source of many health-promoting compounds. A knowledge-based fertilisation concept was evolved to define optimal strategies for feeding Actinidia with nitrogen (N) because a deficit and excess of N both have a negative impact on plants and the surrounding environment. RESULTS: Kiwiberry yield and fruit internal quality significantly depended on soil N level, cultivar and growing season. A higher soil N led to an increase in carotenoid content and a decrease in phenolic content, whereas ascorbic acid and glutathione contents were not affected by soil N fertility. Under the highest N dose, enzymatic antioxidants were activated. Trolox equivalent antioxidant capacity clearly decreased with an increasing N level. CONCLUSIONS: Competent and skilful fertilisation management should focus on balancing a high fruit yield and maintaining their high quality. Based on yield level and fruit antioxidant potential, the N guide values for A. arguta vary between 30 and 50 mg N per kg-1 of soil. The recommended N dose may depend on overall soil quality traits and cultivar N demand, as well as on weather conditions. © 2020 Society of Chemical Industry.