دورية أكاديمية
Mortality and functional status at one-year of follow-up in elderly patients with prolonged ICU stay.
| العنوان: | Mortality and functional status at one-year of follow-up in elderly patients with prolonged ICU stay. |
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| عنوان ترانسليتريتد: | Mortalidad y estado funcional al año de pacientes ancianos con ingreso prolongado en una unidad de cuidados intensivos. |
| المؤلفون: | Pintado MC; Unidad de Cuidados Intensivos, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España. Electronic address: consuelopintado@yahoo.es., Villa P; Unidad de Cuidados Intensivos, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España., Luján J; Unidad de Cuidados Intensivos, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España., Trascasa M; Unidad de Cuidados Intensivos, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España., Molina R; Unidad de Cuidados Intensivos, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España., González-García N; Unidad de Cuidados Intensivos, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España., de Pablo R; Unidad de Cuidados Intensivos, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España. |
| المصدر: | Medicina intensiva [Med Intensiva] 2016 Jun-Jul; Vol. 40 (5), pp. 289-97. Date of Electronic Publication: 2015 Dec 23. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English; Spanish; Castilian |
| بيانات الدورية: | Publisher: Elsevier España Country of Publication: Spain NLM ID: 9207689 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1578-6749 (Electronic) Linking ISSN: 02105691 NLM ISO Abbreviation: Med Intensiva Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2009-> : Madrid : Elsevier España Original Publication: Madrid : IDEPSA, International de Ediciones y Publicaciones, S.A., |
| مواضيع طبية MeSH: | Intensive Care Units* , Length of Stay*, APACHE ; Aged ; Aged, 80 and over ; Diagnosis-Related Groups ; Female ; Follow-Up Studies ; Humans ; Independent Living ; Male ; Mental Status and Dementia Tests ; Organ Dysfunction Scores ; Patient Discharge ; Prospective Studies ; Recovery of Function ; Spain/epidemiology ; Survival Analysis ; Tertiary Care Centers |
| مستخلص: | Objective: To evaluate mortality and functional status at one year of follow-up in patients>75 years of age who survive Intensive Care Unit (ICU) admission of over 14 days. Design: A prospective observational study was carried out. Setting: A Spanish medical-surgical ICU. Patients: Patients over 75 years of age admitted to the ICU. Primary Variables of Interest: ICU admission: demographic data, baseline functional status (Barthel index), baseline mental status (Red Cross scale of mental incapacity), severity of illness (APACHE II and SOFA), stay and mortality. One-year follow-up: hospital stay and mortality, functional and mental status, and one-year follow-up mortality. Results: A total of 176 patients were included, of which 22 had a stay of over 14 days. Patients with prolonged stay did not show more ICU mortality than those with a shorter stay in the ICU (40.9% vs 25.3% respectively, P=.12), although their hospital (63.6% vs 33.8%, P<.01) and one-year follow-up mortality were higher (68.2% vs 41.2%, P=.02). Among the survivors, one-year mortality proved similar (87.5% vs 90.6%, P=.57). These patients presented significantly greater impairment of functional status at hospital discharge than the patients with a shorter ICU stay, and this difference persisted after three months. The levels of independence at one-year follow-up were never similar to baseline. No such findings were observed in relation to mental status. Conclusions: Patients over 75 years of age with a ICU stay of more than 14 days have high hospital and one-year follow-up mortality. Patients who survive to hospital admission did not show greater mortality, though their functional dependency was greater. (Copyright © 2015 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Ancianos; Calidad de vida relacionada con la salud; Critical care; Cuidados intensivos; Elderly; Health-related quality of life; Long-term outcome; Prognosis; Pronóstico; Resultado a largo plazo |
| تواريخ الأحداث: | Date Created: 20151227 Date Completed: 20171204 Latest Revision: 20171204 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.medin.2015.08.002 |
| PMID: | 26706825 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1578-6749 |
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| DOI: | 10.1016/j.medin.2015.08.002 |