Retrospective evaluation of geriatric patients in the intensive care unit Yoǧun bakimda yatan geri̇atri̇k hastalarin retrospekti̇f olarak deǧerlendi̇ri̇lmesi̇


Aydin Erden I., AKINCI S. B., PAMUK A. G., Aycan I. Ö., Çelebioǧlu B., AYPAR Ü.

Turk Geriatri Dergisi, cilt.12, sa.4, ss.171-176, 2009 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 12 Sayı: 4
  • Basım Tarihi: 2009
  • Dergi Adı: Turk Geriatri Dergisi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.171-176
  • Anahtar Kelimeler: Elderly patient, ICU, Mortality
  • Lokman Hekim Üniversitesi Adresli: Evet

Özet

Introduction: The aim of the study was to evaluate the effect of age on length of hospital stay, intensive care unit (ICU) stay, and mortality by comparing patients aged 65 years and older with patients younger than 65 years old. Materials and Method: Patients over 18 years of age who presented to anesthesia ICU were included in the study. The patients were divided into two groups according to their age (<65 years versus ≥65 years old). Demographic and clinical data were recorded retrospectively. Major outcome variables were length of ICU stay, hospital stay and mortality rates. Results: Four hundred and ninety three patient records were evaluated. At admission, elderly patients had more comorbidities, physiological problems and organ failures, and their hospital and ICU mortality rates were higher than that of younger patients. In multivariate logistic regression analysis, TISS-28 score was the only independent variable affecting ICU mortality rates. Regarding hospital mortality rates, however, as well as TISS-28 score, acute congestive heart failure was found to be a statistically significant independent variable. Conclusion: Although mortality rates in the elderly are high, age is not an independent variable affecting the deaths, and when predicting prognosis, prehospital morbidity, physiological parameters and patients' need for care (TISS-28) must be considered.