Idoneidad de los ingresos de los pacientes muy ancianos en las unidades de cuidados intensivos
| Autor: | Isabel Gutiérrez Cía, Carlos Sánchez Polo, Blanca Obón Azuara, Leticia Marie Mounronval Morales |
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| Rok vydání: | 2006 |
| Předmět: |
Mechanical ventilation
Old patients Aging Cardiac problems Pediatrics medicine.medical_specialty business.industry medicine.medical_treatment Medicine (miscellaneous) Apache II score Short life Intensive care unit Icu admission law.invention law medicine Geriatrics and Gerontology Resource consumption business |
| Zdroj: | Revista Española de Geriatría y Gerontología. 41:193-195 |
| ISSN: | 0211-139X |
| DOI: | 10.1016/s0211-139x(06)72952-3 |
| Popis: | Age is sometimes the only selection criteria for admission of old patients to the intensive care unit (ICU) due to high resource consumption in an age segment with short life expectancy. The present study evaluated the appropriateness of ICU admission in 80 patients aged more than 84 years old (mean age 87.0 years). The patients were admitted to an ICU for various causes over a 5-year period. During the study period, 21.3% died. Patients who died had a lower length of stay, higher APACHE II score and a greater proportion of cardiac problems than other patients (p < 0.05) and more frequently required mechanical ventilation. The clinical characteristics of the youngest age segment (65-84 years) did not indicate that the oldest patients should not be admitted to the ICU on the basis of severity. Age was not associated with mortality or worse outcome in the old. The basic indications for admission among these patients were diagnosis, therapeutic possibility and recovery of basal health status. |
| Databáze: | OpenAIRE |
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