Long term outcomes for elderly patients after emergency intensive care admission: A cohort study

Male Retrospective cohort study Emergency Medical Services Critical Care Science Hazard ratio Population wt_116 Proportional hazards model Critical Care and Intensive Care Medicine Pediatrics Disease-Free Survival 03 medical and health sciences Patient Admission 0302 clinical medicine Health Sciences Humans Management of Delirium in Critical Care Patients Internal medicine Aged, 80 and over Psychiatry Emergency department Management of Cardiac Arrest and Resuscitation Q Confidence interval R Cohort Elderly Patients Survival analysis wt_100 3. Good health Survival Rate Intensive Care Units Emergency Department Crowding Environmental health wx_200 Survival Rates Emergency Medicine Medicine Emergency medicine Female Cohort study Research Article
DOI: 10.1371/journal.pone.0241244 Publication Date: 2020-10-29T18:00:31Z
ABSTRACT
Background Elderly patients (≥ 80 years of age) surviving an episode critical illness suffer long-term morbidity and risk mortality. Identifying high groups could assist in informing discussions with families. Aim To determine factors associated survival following ICU admission. Design A cohort study aged ≥ age admitted to the as emergency. Methods Patients from January 2010 December 2018 were included study. Primary outcome was five year survival. Mortality assessed using a multivariable flexible parametric analysis adjusted for demographics, clinically relevant covariates. Results There 828 patients. Mean 84 (SD 3.2) 419 (51%) male. categorised into medical (423 (51%)) surgical (405 (49%)) admissions. Adjusted hazard ratios (aHR) mortality highest serum lactate (>8 mmol/l aHR 2.56 (C.I. 1.79–3.67)), lowest systolic blood pressure (< 70 mmHg 2.04 1.36–3.05)) pH 7.05 4.70 (C.I 2.67–8.21)). no survivors beyond one severe abnormalities > 8 respectively). Relative below that expected general population duration Conclusion Overall five-year 27%. For it 19% 35% respectively. Survival at 30 days 61% 46%. The presence features circulatory shock predicted poor short long term
SUPPLEMENTAL MATERIAL
Coming soon ....
REFERENCES (33)
CITATIONS (1)