Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study

Gök, Abdullah; Yıldız Eglen, Merih; şayan, hasan; Çolak, Fatih; Kasapoglu, Umut Sabri; KACMAZ, OSMAN

doi:10.3906/sag-2104-359

Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study

Umut Sabri KASAPOĞLU, (Malatya Eğitim ve Araştırma Hastanesi, Göğüs ve Yoğun Bakım Kliniği, Malatya, Türkiye)

Osman KAÇMAZ, (Malatya Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Bölümü, Malatya, Türkiye)

Abdullah GÖK, (Malatya Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Bölümü, Malatya, Türkiye)

Merih YILDIZ EGLEN, (Malatya Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Bölümü, Malatya, Türkiye)

Hasan ŞAYAN, (Malatya Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Bölümü, Malatya, Türkiye)

Fatih ÇOLAK (Malatya Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Bölümü, Malatya, Türkiye)

Turkish Journal of Medical Sciences

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Yıl: 2021 Cilt: 51 Sayı: 6 Sayfa Aralığı: 2968 - 2977 Metin Dili: İngilizce DOI: 10.3906/sag-2104-359 İndeks Tarihi: 05-01-2022

Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study

Öz:

Background/aim: Nowadays, with the rise in average life expectancy, the rate of hospitalization of the older population in intensive care unit (ICU) is gradually increasing. Unfortunately, there are no ideal combination of prognostic factors predicting the mortality in older patients admitted to the ICU. In the present study, we aim to determine the prognostic factors and their impacts on short-time mortality in older critically ill patients. Materials and methods: This retrospective cohort study was performed between January 2019 and February 2020. We included 133 patients aged ≥80 years and hospitalized ≥24 h in the ICU. Results: A total of 133 critically ill patients enrolled in the present study. And, the median age of the patients was 85 (80–106) years. 30-days and overall ICU mortality rates were found 30.1% and 34.6%, respectively. The patients were grouped as survivors (n = 94) and nonsurvivors (n = 39). Hospital length of stay before the ICU admission was found significantly longer in nonsurvivors (p = 0.001). Sequential organ failure assessment (SOFA) score and acute physiology and chronic health evaluation-II (APACHE-II) score were significantly higher in nonsurvivors (p < 0.001, p < 0.001). Also, blood lactate level and glucose level were respectively significantly higher in nonsurvivors (p < 0.001, p = 0.006). We found that modified nutrition risk in critically ill (mNUTRIC) score and prehospital clinical frailty scale (CFS) were independent prognostic factors for the older critically ill patients (HR = 9.19, 95% CI=1.47–57.32, p = 0.018, HR = 20.16, 95% CI = 2.63–54.07, p =0.004). Conclusion: mNUTRIC score and prehospital CFS score were the most important prognostic factors in the admission of older patients to intensive care units.Key words: Older, ICU, frailty, modified NUTRIC score, prognostic factors, mortality

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Kasapoglu U, KACMAZ O, Gök A, Yıldız Eglen M, şayan h, Çolak F (2021). Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study. , 2968 - 2977. 10.3906/sag-2104-359
Chicago	Kasapoglu Umut Sabri,KACMAZ OSMAN,Gök Abdullah,Yıldız Eglen Merih,şayan hasan,Çolak Fatih Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study. (2021): 2968 - 2977. 10.3906/sag-2104-359
MLA	Kasapoglu Umut Sabri,KACMAZ OSMAN,Gök Abdullah,Yıldız Eglen Merih,şayan hasan,Çolak Fatih Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study. , 2021, ss.2968 - 2977. 10.3906/sag-2104-359
AMA	Kasapoglu U,KACMAZ O,Gök A,Yıldız Eglen M,şayan h,Çolak F Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study. . 2021; 2968 - 2977. 10.3906/sag-2104-359
Vancouver	Kasapoglu U,KACMAZ O,Gök A,Yıldız Eglen M,şayan h,Çolak F Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study. . 2021; 2968 - 2977. 10.3906/sag-2104-359
IEEE	Kasapoglu U,KACMAZ O,Gök A,Yıldız Eglen M,şayan h,Çolak F "Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study." , ss.2968 - 2977, 2021. 10.3906/sag-2104-359
ISNAD	Kasapoglu, Umut Sabri vd. "Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study". (2021), 2968-2977. https://doi.org/10.3906/sag-2104-359

APA	Kasapoglu U, KACMAZ O, Gök A, Yıldız Eglen M, şayan h, Çolak F (2021). Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study. Turkish Journal of Medical Sciences, 51(6), 2968 - 2977. 10.3906/sag-2104-359
Chicago	Kasapoglu Umut Sabri,KACMAZ OSMAN,Gök Abdullah,Yıldız Eglen Merih,şayan hasan,Çolak Fatih Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study. Turkish Journal of Medical Sciences 51, no.6 (2021): 2968 - 2977. 10.3906/sag-2104-359
MLA	Kasapoglu Umut Sabri,KACMAZ OSMAN,Gök Abdullah,Yıldız Eglen Merih,şayan hasan,Çolak Fatih Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study. Turkish Journal of Medical Sciences, vol.51, no.6, 2021, ss.2968 - 2977. 10.3906/sag-2104-359
AMA	Kasapoglu U,KACMAZ O,Gök A,Yıldız Eglen M,şayan h,Çolak F Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study. Turkish Journal of Medical Sciences. 2021; 51(6): 2968 - 2977. 10.3906/sag-2104-359
Vancouver	Kasapoglu U,KACMAZ O,Gök A,Yıldız Eglen M,şayan h,Çolak F Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study. Turkish Journal of Medical Sciences. 2021; 51(6): 2968 - 2977. 10.3906/sag-2104-359
IEEE	Kasapoglu U,KACMAZ O,Gök A,Yıldız Eglen M,şayan h,Çolak F "Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study." Turkish Journal of Medical Sciences, 51, ss.2968 - 2977, 2021. 10.3906/sag-2104-359
ISNAD	Kasapoglu, Umut Sabri vd. "Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort study". Turkish Journal of Medical Sciences 51/6 (2021), 2968-2977. https://doi.org/10.3906/sag-2104-359