DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT?

Özet

Introduction: The number of elderly patients followed in intensive care unitsis increasing day by day. In the literature, there are a limited number of studiescovering patients aged 90 and over. We aimed to investigate the epidemiologiccharacteristics and clinical outcomes of elderly patients aged ≥90 years admittedto intensive care unit.Materials and Methods: In this study, medical records of patients aged ≥90years admitted to intensive care unit, between January 2015 and January 2018,were retrospectively reviewed. Demographic data, reason for admission (medicalor surgical), Acute Physical and Chronic Health Evaluation II (APACHE II) score, needfor and duration of mechanical ventilation, need for inotropic agents, duration ofintensive care unit stay, and mortality rate were recorded.Results: A total of 107 nonagenarians were evaluated. The mean age of thepatients was 92.65 ± 2.36 years, and 72 of them were women. The mean score ofAPHACHE II was 23.6 ± 7.2. Most patients were admitted due to medical reasons (n= 82, 76.63%). Sixty-four of the medical patients, and four of the surgical patientshad died in the intensive care unit (n = 68, 63.55%). APACHE II score, need for andthe duration of mechanical ventilation, need for inotropic agents, the duration ofintensive care unit stay, and the mortality rate were higher in medical patients thanin surgical patients.Conclusions: The mortality rates of the medical patients were high; nevertheless,we believe that surgical patients more benefit from intensive care unit follow-up.