[福塔雷萨一家大学医院重症监护病房收治的老年患者的发病率和死亡率]

[Morbidity and mortality of elderly patients admitted to an Intensive Care Unit of a University Hospital in Fortaleza].

作者信息

Feijó Carlos Augusto Ramos, Bezerra Iara Serra Azul Machado, Peixoto Júnior Arnaldo Aires, Meneses Francisco Albano de

机构信息

Hospital Universitário Walter Cantídio, Universidade Federal do Ceará.

HUWC, UFC.

出版信息

Rev Bras Ter Intensiva. 2006 Sep;18(3):263-7.

PMID:25310440

Abstract

BACKGROUND AND OBJECTIVES

To identify the severity of elderly patients admitted to the intensive care unit (ICU) in a university hospital, relating it to the in-ICU mortality.

METHODS

Retrospective study, with analysis of 130 patients admitted to ICU from March 2004 to July 2005.

RESULTS

Of the 130 patients, there was a predominance of women, and mean 72.2 ± 7.3 years. There were more patients between 65 and 74 years old. More than 80% of the patients had come from the university hospital itself. The main dysfunctions were from the cardiocirculatory and respiratory systems. Sepsis caused 23.8% of the admissions. Length of stay in ICU was 8.2 ± 7.6 days. The mean of APACHE II was 18.2 ± 7.2. Lesser values of APACHE II, length of stay and mortality were observed in patients with cardiocirculatory dysfunction. The in-ICU mortality was 33.9%, 6.2% before 48 hours. The standardized mortality ratio (SMR) was 0.988.

CONCLUSIONS

The age groups did not determine difference between values of APACHE II. They were related neither to higher mortality rate, nor to higher ICU length of stay. Patients with cardiocirculatory dysfunctions had lesser values of APACHE II, ICU length of stay and in-ICU mortality.

摘要

背景与目的

确定某大学医院重症监护病房（ICU）收治的老年患者的严重程度，并将其与ICU内死亡率相关联。

方法

回顾性研究，分析了2004年3月至2005年7月期间收治入ICU的130例患者。

结果

130例患者中女性占多数，平均年龄72.2±7.3岁。65至74岁的患者更多。超过80%的患者来自该大学医院本身。主要功能障碍来自心血管和呼吸系统。脓毒症导致23.8%的入院病例。在ICU的住院时间为8.2±7.6天。急性生理与慢性健康状况评分系统（APACHE II）的平均值为18.2±7.2。心血管功能障碍患者的APACHE II值、住院时间和死亡率较低。ICU内死亡率为33.9%，48小时内死亡率为6.2%。标准化死亡率（SMR）为0.988。