Yıl: 2020 Cilt: 23 Sayı: 1 Sayfa Aralığı: 60 - 65 Metin Dili: İngilizce DOI: 10.31086/tjgeri.2020.138 İndeks Tarihi: 03-11-2020

DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?

Öz:
Introduction: The number of elderly patients followed in intensive care unitsis increasing day by day. In the literature, there are a limited number of studiescovering patients aged 90 and over. We aimed to investigate the epidemiologiccharacteristics and clinical outcomes of elderly patients aged ≥90 years admittedto intensive care unit.Materials and Methods: In this study, medical records of patients aged ≥90years admitted to intensive care unit, between January 2015 and January 2018,were retrospectively reviewed. Demographic data, reason for admission (medicalor surgical), Acute Physical and Chronic Health Evaluation II (APACHE II) score, needfor and duration of mechanical ventilation, need for inotropic agents, duration ofintensive care unit stay, and mortality rate were recorded.Results: A total of 107 nonagenarians were evaluated. The mean age of thepatients was 92.65 ± 2.36 years, and 72 of them were women. The mean score ofAPHACHE II was 23.6 ± 7.2. Most patients were admitted due to medical reasons (n= 82, 76.63%). Sixty-four of the medical patients, and four of the surgical patientshad died in the intensive care unit (n = 68, 63.55%). APACHE II score, need for andthe duration of mechanical ventilation, need for inotropic agents, the duration ofintensive care unit stay, and the mortality rate were higher in medical patients thanin surgical patients.Conclusions: The mortality rates of the medical patients were high; nevertheless,we believe that surgical patients more benefit from intensive care unit follow-up.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Turkish Statistical Institute. Population Projections, 2018. [Press Release]. Available from: http://web. turkstat.gov.tr/PreHaberBultenleri.do?id=30567. Accessed: 21.02.2018.
  • 2. Bozkurt D, Kilavuz A, Ov C, Köse T, Akçiçek F. Nontraditional mortality predictors for geriatric intensive care unit patients. Turkish Journal of Geriatrics 2018;21(3):323-32.
  • 3. Karaveli A, Cerit GN, Ozyurt E. Evaluation of admission causes and mortality rates of 65 years of age and older patients admitted from the emergency department to the intensive care unit. Turkish Journal of Geriatrics 2018;21(4):515-21.
  • 4. Dinkci MD, Yüce Y, Çevil B, Erkal KH. Retrospective analysis of factors affecting intensive care unit mortality in patients over 75 years of age. Turkish Journal of Geriatrics 2017;20(2):91-9.
  • 5. Garrouste-Orgeas M, Ruckly S, Grégoire C, et al. Treatment intensity and outcome of nonagenarians selected for admission in ICUs: a multicenter study of the Outcomerea Research Group. Ann Intensive Care 2016;6(1):31. (PMID: 27076186).
  • 6. Becker S, Müller J, Heer G, Braune S, Fuhrmann V, Kluge S. Clinical characteristics and outcome of very elderly patients ≥90 years in intensive care: a retrospective observational study. Ann Intensive Care 2015;5(1):53. (PMID:26690798).
  • 7. Sim YS, Jung H, Shin TR, Kim DG, Park SM. Mortality and outcomes in very elderly patients 90 years of age or older admitted to the ICU. Resp Care 2015;60(3):347-55. (PMID:25406344).
  • 8. Rellos K, Falagas ME, Vardakas KZ, Sermaides G, Michalopoulos A. Outcome of critically ill oldestold patients (aged 90 and older) admitted to the intensive care unit. J Am Geriatr Soc 2006;54(1):110- 4. (PMID:16420206).
  • 9. Lerolle N, Trinquart L, Bornstain C, et al. Increased intensity of treatment and decreased mortality in elderly patients in an intensive care unit over a decade. Crit Care Med 2010;38(1):59-64. (PMID:19633539).
  • 10. Ihra GC, Lehberger J, Hochrieser H, et al. Development of demographics and outcome of very old critically ill patients admitted to intensive care units. Intensive Care Med 2012; 38(4):620–6. (PMID:22354500).
  • 11. Boumendil A, Maury E, Reinhard I, Luquel L, Offenstadt G, Guidet B. Prognosis of patients aged 80 years and over admitted in medical intensive care unit. Intensive Care Med 2004;30(4):647–54. (PMID:14985964).
  • 12. Bagshaw SM, Webb SA, Delaney A, et al. Very old patients admitted to intensive care in Australia and New Zealand: a multi-centre cohort analysis. Crit Care 2009;13(2):R45. (PMID:19335921)
  • 13. Roch A, Wiramus S, Pauly V, et al. Longterm outcome in medical patients aged 80 or over following admission to an intensive care unit. Crit Care 2011;15(1):R36. (PMID: 21261976).
  • 14. Orsini J, Butala A, Salomon S, et al. Prognostic factors associated with adverse outcome among critically ill elderly patients admitted to the intensive care unit. Geriatr Gerontol Int 2015;15(7):889-94. (PMID:25255733).
  • 15. Sodhi K, Kumar MS, Shrivastava A, Bansal N. Do Intensive Care Units treatment modalities predict mortality in geriatric patients: An observational study from an Indian Intensive Care Units. Ind J Crit Care Med 2014;18(12):789-95. (PMID: 25538413).
  • 16. Van Den Noortgate N, Vogelaers D, Afschrift M, Colardyn F. Intensive care for very elderly patients: Outcome and risk factors for in-hospital mortality. Age Ageing 1999;28(3):253-6. (PMID:10475859).
APA Arıkan M (2020). DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?. , 60 - 65. 10.31086/tjgeri.2020.138
Chicago Arıkan Müge DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?. (2020): 60 - 65. 10.31086/tjgeri.2020.138
MLA Arıkan Müge DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?. , 2020, ss.60 - 65. 10.31086/tjgeri.2020.138
AMA Arıkan M DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?. . 2020; 60 - 65. 10.31086/tjgeri.2020.138
Vancouver Arıkan M DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?. . 2020; 60 - 65. 10.31086/tjgeri.2020.138
IEEE Arıkan M "DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?." , ss.60 - 65, 2020. 10.31086/tjgeri.2020.138
ISNAD Arıkan, Müge. "DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?". (2020), 60-65. https://doi.org/10.31086/tjgeri.2020.138
APA Arıkan M (2020). DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?. Türk Geriatri Dergisi, 23(1), 60 - 65. 10.31086/tjgeri.2020.138
Chicago Arıkan Müge DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?. Türk Geriatri Dergisi 23, no.1 (2020): 60 - 65. 10.31086/tjgeri.2020.138
MLA Arıkan Müge DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?. Türk Geriatri Dergisi, vol.23, no.1, 2020, ss.60 - 65. 10.31086/tjgeri.2020.138
AMA Arıkan M DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?. Türk Geriatri Dergisi. 2020; 23(1): 60 - 65. 10.31086/tjgeri.2020.138
Vancouver Arıkan M DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?. Türk Geriatri Dergisi. 2020; 23(1): 60 - 65. 10.31086/tjgeri.2020.138
IEEE Arıkan M "DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?." Türk Geriatri Dergisi, 23, ss.60 - 65, 2020. 10.31086/tjgeri.2020.138
ISNAD Arıkan, Müge. "DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?". Türk Geriatri Dergisi 23/1 (2020), 60-65. https://doi.org/10.31086/tjgeri.2020.138