Gómez CJM, Prado PE, Cerón DUW, Martínez ZR, Sierra UA

Language: Spanish
References: 11
Page: 129-134
PDF size: 66.39 Kb.

ABSTRACT

Objective: To analyze the data obtained from elderly patients older than 65 years of age admitted in the ICU during the period from January to December 2004
Design: A retrospective, cohorts, transversal study.
Setting: A Mexican Intensive Care Unit of a teaching hospital.
Patients: All patients older than 65 years of age admitted in the ICU during the period from January to December 2004 (n = 228).
Interventions: None.
Measurements and main results: During the period between January 1st 2004 to December 31st 2004, 428 patients were admitted in the Hospital Español de México Intensive Care Unit. 51.6% of them were 65 year old at the moment of admittance. One hundred and twenty two patients were included in group 1 and 69 in group 2. Among the 191 patients admitted in our study, 22% of them died in group 1 and 40% died in group 2. In group 1 the mean age was 77.1 ± 6.36 years, and in group 2 was 85.05 ± 14.84 years, with a mean length of stay in the ICU of 5.13 ± 0.7 days and 5.99 ± 2.74 days respectively. A statistically significant association was found between mechanical ventilation and mortality, hemodynamic monitoring and mortality, and chronic status according to APACHE II scale and mortality in both groups. As for the mortality according to sex, in group 1 12 males (19.3%) and 15 females (25%) died (p = 0.59), and in group 2 12 males (42.8%) and 16 females (39%) died (p = 0.94), with no statistically significant difference. The probability of death calculated by APACHE II scale in both groups was 27 and 31% with an actual mortality of 22 and 40% respectively.
Conclusions: An association between mechanical ventilation, hemodynamic monitoring, chronic status determined by APACHE II scale and mortality in 65 year and older patients was found. Mortality rate was higher in group 2, formed by 80 year and older patients.

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