Clinical features and disease progression of elderly patients at the ICU setting.
Med Intensiva (Engl Ed)
; 48(5): 254-262, 2024 05.
Article
em En
| MEDLINE
| ID: mdl-38519374
ABSTRACT
OBJECTIVE:
To describe and characterize a cohort of octogenarian patients admitted to the ICU of the University Central Hospital of Asturias (HUCA).DESIGN:
Retrospective, observational and descriptive study of 14 months' duration.SETTING:
Cardiac and Medical intensive care units (ICU) of the HUCA (Oviedo).PARTICIPANTS:
Patients over 80 years old who were admitted to the ICU for more than 24â¯h.INTERVENTIONS:
None. MAIN VARIABLES OF INTEREST Age, sex, comorbidity, functional dependence, treatment, complications, evolution, mortality.RESULTS:
The most frequent reasons for admission were cardiac surgery and pneumonia. The average admission stay was significantly longer in patients under 85 years of age (pâ¯=â¯0,037). 84,3% of the latter benefited from invasive mechanical ventilation compared to 46,2% of older patients (pâ¯=â¯<0,001). Patients over 85 years of age presented greater fragility. Admission for cardiac surgery was associated with a lower risk of mortality (HRâ¯=â¯0,18; 95% CI (0,062-0,527; pâ¯=â¯0,002).CONCLUSIONS:
The results have shown an association between the reason for admission to the ICU and the risk of mortality in octogenarian patients. Cardiac surgery was associated with a better prognosis compared to medical pathology, where pneumonia was associated with a higher risk of mortality. Furthermore, a significant positive association was observed between age and frailty.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Progressão da Doença
/
Unidades de Terapia Intensiva
Limite:
Aged80
/
Female
/
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article