Jose Orsini1, Christa Blaak2, Ben Shamian2, Xavier Fonseca2, Amr Salem2, Yaw-Ling Chen2. 1. Division of Critical Care Medicine, Department of Medicine, New York University School of Medicine, Woodhull Medical and Mental Health Center, 760 Broadway, Brooklyn, NY, 11206, USA. jose.orsini@woodhullhc.nychhc.org. 2. Division of Critical Care Medicine, Department of Medicine, New York University School of Medicine, Woodhull Medical and Mental Health Center, 760 Broadway, Brooklyn, NY, 11206, USA.
Abstract
BACKGROUND: Advanced age is associated with increased severity of acute critical illnesses and admission to ICU. Despite advances in the support for older critically ill patients, the short- and long-term mortality rates remain substantial. The purpose of this study is to analyze the factors influencing the outcome of a geriatric population admitted to the ICU. METHODS: A single-center, prospective, observational study was conducted among all geriatric patients, 80 years or older, admitted to ICU during a 6-month study period. RESULTS: Fifty-two patients were admitted. Mean age was 85.1 years (range 80-96), mean APACHE-II score was 24.7 (range 11-40), and mean frailty score was 5.8 (range 3-8). Thirty-nine (75 %) patients received mechanical ventilation, and 31 (59.7 %) were on vasoactive therapy. Twenty-four (46.3 %) patients died during their hospital admission, and 13 (25 %) of them expired in ICU. DISCUSSION: Advanced age, needs for vasopressor therapy, and mechanical ventilation are independent predictive factors of adverse outcome. Pre-admission functional status was not independently associated with unfavorable outcome.
BACKGROUND: Advanced age is associated with increased severity of acute critical illnesses and admission to ICU. Despite advances in the support for older critically ill patients, the short- and long-term mortality rates remain substantial. The purpose of this study is to analyze the factors influencing the outcome of a geriatric population admitted to the ICU. METHODS: A single-center, prospective, observational study was conducted among all geriatric patients, 80 years or older, admitted to ICU during a 6-month study period. RESULTS: Fifty-two patients were admitted. Mean age was 85.1 years (range 80-96), mean APACHE-II score was 24.7 (range 11-40), and mean frailty score was 5.8 (range 3-8). Thirty-nine (75 %) patients received mechanical ventilation, and 31 (59.7 %) were on vasoactive therapy. Twenty-four (46.3 %) patients died during their hospital admission, and 13 (25 %) of them expired in ICU. DISCUSSION: Advanced age, needs for vasopressor therapy, and mechanical ventilation are independent predictive factors of adverse outcome. Pre-admission functional status was not independently associated with unfavorable outcome.
Entities:
Keywords:
Critically ill; Elderly patients; Intensive care unit (ICU)
Authors: João Manoel Silva; Henrique Tadashi Katayama; Felipe Manuel Vasconcellos Lopes; Diogo Oliveira Toledo; Cristina Prata Amendola; Fernanda Dos Santos Oliveira; Leusi Magda Romano Andraus; Maria José C Carmona; Suzana Margareth Lobo; Luiz Marcelo Sá Malbouisson Journal: Braz J Anesthesiol Date: 2021-04-27