Survival analysis of the elderly patients treated in the respiratory intensive care unit

Objective & Hypothesis:Introduction: The number of elderly patients treated in the respiratory intensive care units (RICUs) are increasing continuously.

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Key Findings & Data:The aim of the study is to analyze the patient characteristics, hospital stay, mortality and the factors affecting mortality for patients above 65 years of age who are treated for acute respiratory insufficiency (ARI) in the RICU.

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Conclusion & Impact:The difference was found statistically significant between the groups (p

🔬Design:Research Article

📍Scope:2007 Verileri

⚙️Variables:Domain Parameters

Abstract

Introduction: The number of elderly patients treated in the respiratory intensive care units (RICUs) are increasing continuously. The aim of the study is to analyze the patient characteristics, hospital stay, mortality and the factors affecting mortality for patients above 65 years of age who are treated for acute respiratory insufficiency (ARI) in the RICU. Materials and Method: This retrospective analysis includes patients over 65 years of age who have pulmonary disease (surgical pulmonary insufficiency is excluded) and followed in the RICU between 01.12.2007 and 30.03.2009. Patients were divided into two groups according to their age: 65-74 years of age and above 75 years of age. In this age group 81 ICU admission of 76 patients were included to the study. Group I includes 42 patients and Group II includes 39 patients. Results: The mortality rate was 40% (18 patients) in Group I and 66.7% (27 patients) in Group II. The difference was found statistically significant between the groups (p

Özet

Giriş: Yoğun bakım ünitelerine kabul edilen yaşlı hasta sayısı gün geçtikçe artmaktadır. Çalışmamızın amacı; solunumsal yoğun bakım ünitesi’nde (SYBÜ) akut solunum yetmezliği (ASY) nedeniyle kabul edilerek takip edilen 65 yaş ve üzeri hasta grubunun özelliklerini, yatış sürelerini, mortalitelerini saptamak, mortalite üzerine etkili faktörleri tesbit edebilmektir. Gereç ve Yöntem: Bu retrospektif çalışma; cerrahi dışı pulmoner bir hastalığı olup 01.12.2007-30.03.2009 tarihleri arasında ASY ile hastanemiz SYBÜ’de izlenen 65 yaş ve üzerindeki olguların kaydedilmiş verilerinin analizi ile gerçekleştirildi. Hastalar yaşlarına göre; 65-74 yaş GrupI, 75 yaş ve üzeri GrupII olarak gruplandırılarak veriler karşılaştırıldı. Bu yaş grubunda 76 hastanın 81 yatışı çalışmaya dahil edildi. Grup I; 42, Grup II; 39 hasta içerdi. Bulgular: Grup I’deki; 18 (%40), Grup II’deki 27 hasta eksitus oldu (%66.7). SYBÜ mortalitesi gruplar karşılaştırıldığında anlamlı bulundu (p

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Cite This Article

ULUS, F., ŞAVKILIOĞLU, E., KOKULU, S. (2022). Survival analysis of the elderly patients treated in the respiratory intensive care unit. Türk Geriatri Dergisi, Cilt: 13 - Sayı: 4, 231–237. https://ajindex.com/articles/624159

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References (14)

Topeli A. Yo¤un Bakım Ünitesi’nde Geriatrik Hasta. Turkish Journal of Geriatrics 2000;3(4): 151-4.
Sevransky JE, Haponik EF. Respiratory failure in elderly patients. Clin Geriatr Med 2003;19(1):205-24. Marik PE. Management of the critically ill geriatric patient. Crit Care Med 2006;34(9):176-82. http://www.tuik.gov.tr/VeriBilgi.do (Türkiye ‹statistik Kurumu, Adrese dayal› nüfus kay›t sistemi 2008 nüfus say›m› sonuçlar›) Eriflim: 27.05.2009.
Bo M, Massaia M, Raspo S, Bosco F, Cena P, Molaschi M, Fabris F. Predictive factors of ›n-hospital mortality in older patients admitted to a medical ›ntensive care unit. J Am Geriatr Soc 2003;51(4):529-33.
Hennessy D, Juzwishin K, Yergens D, Noseworthy T, Doig C. Outcomes of elderly survivors of intensive care. Chest 2005; 127(5):1764-74.
Montuclard L, Garrouste-Orgeas M, Timsit JF, Misset B, Jonghe B, Carlet J. Outcome, functional autonomy, and quality of life of elderly patients with a long-term intensive care unit stay. Crit Care Med 2000:28(10):3389-95.
Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: A severity of disease classification system. Crit Care Med 1985;13(10): 818-29.
Vincent JL, Moreno R, Takala J, et al. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/ failure. On behalf of the Working Group on Sepsis-Rela-ted Problems of the European Society of Intensive Care Med 1996;22(7):707-10.
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.
Castillo MD, Heerdt PM. Pulmonary resection in the elderly. Curr Opin Anaesthesiol 2007;20(1):4-7.
Sharma G, Goodwin J. Effect of aging on respiratory system physiology and immunology. Clin Interv Aging 2006;1(3): 253-60. Meyer KC. Aging. Proc Am Thorac Soc 2005;2(5):433-9.
Ulus F, Sazak H, Tunç M, fiavkılıoğlu E, fiipit T, Karlılar B, Telatar A. APACHE II Skorlama Sistemi Solunumsal Yo¤un Bak›m Ünitesinde Mortalite H›z›n› Belirlemede Başarılımıdır? Solunum Hastalıkları 2006;17(4):167-71.
Vosylıus S, Sıpylaıte J, Ivaskevıcıus J. Determinants of outcome in elderly patients admitted to the intensive care unit. Age and Ageing 2005;34(2):157-62.
Ely EW, Wheeler AP, Thompson BT, Ancukiewicz M, Steinberg KP, Bernard GR. Recovery rate and prognosis in older persons who develop acute lung injury and the acute respiratory distress syndrome. Ann Intern Med 2002;136(1):25-33.
Somme D, Maillet JM, Gis