新西兰一家地区医院重症监护病房老年休克患者死亡率的回顾性观察研究。
A retrospective observational study of mortality rates in elderly patients with shock in a New Zealand district hospital ICU.
作者信息
Keet Owen, Chisholm Stephanie, Goodson Jennifer, Browne Troy
机构信息
Intensive Care, Tauranga Hospital, Tauranga.
Medical School, Auckland University, Auckland.
出版信息
N Z Med J. 2017 Apr 7;130(1453):29-34.
AIM
Admitting very elderly, critically ill patients to ICU is controversial. We compared our mortality data in a subgroup of elderly patients to internationally published outcomes.
METHODS
Tauranga Hospital ICU retrospectively investigated their mortality outcomes for patients with septic shock. The ANZICS adult database (AORTIC), Tauranga Hospital computer records and medical records were used to identify the study cohort and provide information on demographics, admission times and shock types between January 2009 and December 2014. Patients were divided into groups; not old (<74 years), old (75-84 years) and very old (>85 years) to compare survival statistics at ICU discharge, hospital discharge, 28 days, six months and 12 months.
RESULTS
Patients in the >85 year group at Tauranga ICU had a 38.5% survival.
CONCLUSION
With careful selection, elderly patients with septic shock may have an acceptable outcome.
目的
将高龄危重症患者收入重症监护病房（ICU）存在争议。我们将老年患者亚组的死亡率数据与国际上公布的结果进行了比较。
方法
陶朗加医院ICU回顾性调查了感染性休克患者的死亡结局。使用澳大利亚和新西兰重症监护学会（ANZICS）成人数据库（AORTIC）、陶朗加医院计算机记录和病历，确定研究队列，并提供2009年1月至2014年12月期间的人口统计学、入院时间和休克类型信息。患者被分为几组；非老年（<74岁）、老年（75 - 84岁）和高龄（>85岁），以比较ICU出院时、医院出院时、28天、6个月和12个月时的生存统计数据。
结果
陶朗加ICU中85岁以上组患者的生存率为38.5%。
结论
经过仔细筛选，感染性休克老年患者可能会有可接受的结局。
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