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ISSN 1561-3046 (Electronic)

2015, Number 4

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Rev Cub Med Mil 2015; 44 (4)

Morbidity and mortality of the older patient in an intensive care unit

García GA, Leal CO, Martínez LY, Sanabria BOL, Coca MJL

Language: Spanish
References: 13
Page: 389-397
PDF size: 120.73 Kb.


ABSTRACT

Introduction: the elderly population has increased in Cuba, hence the number of admissions in the intensive care units is expected to rise in the next few years.
Objectives: to describe some mortality and morbidity aspects in a series of older adults who were admitted to an intensive care unit.
Methods: retrospective, longitudinal, observational and descriptive study conducted in the intensive care unit of ¨Dr Carlos J. Finlay¨ military hospital from January 2011 to December 2014. The final sample was 485 patients selected from 1,179 admitted to the hospital in the period. The statistical methods for the study included absolute and relative frequency distributions, central tendency measures, Chi-square and Student´s t tests. The level of significance was set at 5%.
Results: the sample accounted for 41.1% of the admissions. The average age was 69.8 ± 6.5 years. Males (55.1%) and the 60-69 y age group (51%) predominated. The ratio of men/women was 1.2:1. Over half of the patients died on discharge 61.9%). The average age of this group was slightly higher than that of the live patients on discharge (70 vs 69.5 years). The clinical admission showed the highest number of hospitalized people (69,1%). The mean of APACHE (Acute Physiology, Age, Chronic Health Evaluation) was 19.9, being higher in dead patients than in the ones alive. In the sample, 71.5% of patients were mechanically ventilated. The main cause of death was bacterial bronchial pneumonia (27.6%).
Conclusions: the older adult represented a significant part of the admissions to the intensive care unit, a high percentage of them required mechanical ventilation and the mortality rate was high.


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