Dahiliye yoğun bakımdaki yaşlı ve çok yaşlı hastaların klinik özelliklerinin karşılaştırılması
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Dosyalar
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Genel nüfustaki yaş ortalamalarındaki artış yoğun bakıma ihtiyaç duyan hasta popülasyonuna da yansımaktadır. Yaşla birlikte eşlik eden hastalıkların artması bu hastaların takibinde ayrıca dikkat edilmesi gereken bir konudur. Biz de medikal yoğun bakım (YB) ünitemizde takip edilen yaşlı (65-79 yaş) ve çok yaşlı (80 yaş üstü) gruptaki hastalarımızın klinik ve laboratuvar özelliklerini karşılaştırdık.Yöntemler: 65 yaş ve üstü YB hastalarının klinik ve laboratuvar verileri retrospektif olarak tarandı. Hastaların komorbiditeleri 19 hastalık ağırlıklı Charlson Comorbidity Index (CCI) ile değerlendirildi.Bulgular: Çalışmaya 231 yaşlı ve 216 çok yaşlı hasta alındı. Her iki hasta grubunda da pulmoner hastalıklar YB'ye en sık primer alınış sebebiydi. Yine her iki grupta da hipertansiyon ve kalp yetmezliği en sık komorbid hastalıklardı. Çok yaşlı hasta grubunda CCI skoru 3 olanların sayısı daha fazla idi. Takip süresince gruplar arasında medyan YB-sağkalım açısından fark saptanmazken 30 gün ve üzerindeki YB takiplerinde ise median YB-sağkalım yaşlı hastalarda 81 gün (%95 CI: 48,8-113,2) iken çok yaşlı hastalarda 41 gün (%95 CI: 36,6-45,4) idi (p0,009).Sonuç: 65 yaşın üzerindeki hastalarda artan yaşın YBsağ kalımlarında primer faktör olmadığını saptadık. Ancak yoğun bakımda uzun süreli yatışlarda artan yaş kısa sağ kalımla ilişkili olabilir.
Objective: The increase in the mean age of the general population is reflected in the patient populations who are in need of intensive care. Increasing number of comorbidities with age is also an important issue to be considered in the management of these patients. We evaluated clinical and laboratory features of the elderly (65-79 years) and very elderly (>80 years) patients in our medical intensive care unit (ICU).Methods: The clinical and laboratory data of intensive care patients aged 65 and over were retrospectively analyzed. Comorbidities were commented with 19 diseaseweighted Charlson Comorbidity Index (CCI).Results: 231 elderly and 216 very elderly patients were included in this study. Pulmonary diseases were the most prevalent primary cause of admission to ICU in both groups. The most common comorbidities were hypertension and heart failure in both groups. Number of patients whose CCI scores>3 were higher in very elderly patients group than in elderly patients group. While there was no difference in terms of median ICU-survival between two groups in general, when 30 days and longer intensive care follow-ups were evaluated, it was found 81.0 (95% CI: 48.8-113.2) days and 41.0 (95% CI: 36.6- 45.4) days in the elderly and very elderly patients respectively (p 0.009).Conclusion: We concluded that, age is not the main factor affecting the ICU-survival in patient over 65 years old in intensive care unit. However, increasing age may be associated with short survival at prolonged hospitalizations in ICU. J Clin Exp Invest 2015; 6 (2): 144-149.
Objective: The increase in the mean age of the general population is reflected in the patient populations who are in need of intensive care. Increasing number of comorbidities with age is also an important issue to be considered in the management of these patients. We evaluated clinical and laboratory features of the elderly (65-79 years) and very elderly (>80 years) patients in our medical intensive care unit (ICU).Methods: The clinical and laboratory data of intensive care patients aged 65 and over were retrospectively analyzed. Comorbidities were commented with 19 diseaseweighted Charlson Comorbidity Index (CCI).Results: 231 elderly and 216 very elderly patients were included in this study. Pulmonary diseases were the most prevalent primary cause of admission to ICU in both groups. The most common comorbidities were hypertension and heart failure in both groups. Number of patients whose CCI scores>3 were higher in very elderly patients group than in elderly patients group. While there was no difference in terms of median ICU-survival between two groups in general, when 30 days and longer intensive care follow-ups were evaluated, it was found 81.0 (95% CI: 48.8-113.2) days and 41.0 (95% CI: 36.6- 45.4) days in the elderly and very elderly patients respectively (p 0.009).Conclusion: We concluded that, age is not the main factor affecting the ICU-survival in patient over 65 years old in intensive care unit. However, increasing age may be associated with short survival at prolonged hospitalizations in ICU. J Clin Exp Invest 2015; 6 (2): 144-149.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Journal of Clinical and Experimental Investigations
WoS Q Değeri
Scopus Q Değeri
Cilt
6
Sayı
2
