Outcome of intensive care in the elderly
Outcome of intensive care in the elderly
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DOI：
10.1111/j.1365-2044.1997.237-az0369.x
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发表时间：
1997-12-01
期刊：
影响因子：
10.7
通讯作者：
Ridley, S
中科院分区：
文献类型：
--
作者：
Djaiani, G;Ridley, S
在英国，老年患者在危重疾病后的长期存活率以前没有被研究过。记录所有70岁以上危重患者的人口统计资料(年龄、性别、诊断、病情严重程度)和治疗细节(入院类型、治疗时间、既往手术)。对这些患者的1年生存率进行了测量，并与匹配的正常人群进行了比较。在474名70岁以上的患者中，88名患者在重症监护病房死亡(死亡率为19%)，另有133名患者在1年内死亡(总死亡率为47%)。85岁以上患者1年生存率为56%，明显高于85岁以上患者(27%)。所有重症老年患者的存活率明显低于匹配的正常人群(1年存活率为93%)。Logistic回归分析显示，年龄、诊断和病情严重程度是1年生存率的独立预测因素。
The long-term survival of elderly patients following critical illness in the United Kingdom has not previously been studied. The demographic (age, sex, diagnosis, severity of illness) and treatment details (admission type, length of treatment, prior surgery) of all critically ill patients aged over 70 years were recorded. The 1-year survival of such patients was measured and compared with that of a matched normal population. Of 474 patients aged over 70 years, 88 patients died on the intensive care unit (19% mortality) and a further 133 died within 1 year (total mortality 47%). The 1-year survival of patients aged < 85 years was 56% which was significantly better than that of patients over 85 years (27%). The survival of all critically ill elderly patients was significantly poorer than that of a matched normal population (1-year survival 93%). Logistic regression revealed that age, diagnosis and severity of illness are independent predictors of 1-year survival.