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
AUTHORS (6)
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
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