Limitation of therapeutic activity in elderly critically ill patients.
To establish whether the age of patients admitted into the intensive care unit (ICU) influences the amount of therapy received.
Observational, prospective, multicenter study.
Eighty-six multidisciplinary ICUs in Spain, including coronary patients.
The patients (n=8,838) were studied during a 6-month period between 1992 and 1993.
Patients<16 yrs of age and patients dying within the first 6 hrs were excluded from the study.
Measurements and Main Results
We collected data on age, gender, type of diagnosis at the time of admission, severity level by Acute Physiology and Chronic Health Evaluation (APACHE) II and III, quality of life survey score, therapeutic activity during the first 24 hrs by Therapeutic Intervention Scoring System, and ICU and hospital mortality rates.
In the sample of patients, 12.5% were>75 yrs of age.
Compared with younger patients, these patients had higher APACHE II (18.41 ± 0.23 vs. 15.14 ± 0.09 points, p<. 001) and APACHE III (65.8 ± 0.81 vs. 53.32 ± 0.33 points, p<. 001) scores, a higher quality of life survey score (i.e., worse quality of life, 7.19 ± 0.19 vs. 3.86 ± 0.05 points, p<. 001), and a greater ICU mortality rate (21.9% vs. 15.3%, p<. 00001) and hospital mortality rate (30.8% vs. 19.3%, p<. 00001).
However, patients>75 yrs had a lower Therapeutic Intervention Scoring System score (19.83 ± 0.28 vs. 21.17 ± 0.12 points, p<. 001). (...)
Mots-clés Pascal : Unité soin intensif, Traitement, Age, Indice gravité, Pronostic, Echelle évaluation, Vieillard, Homme, Etude comparative, Espagne, Europe, Soin intensif
Mots-clés Pascal anglais : Intensive care unit, Treatment, Age, Severity score, Prognosis, Evaluation scale, Elderly, Human, Comparative study, Spain, Europe, Intensive care
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0542577
Code Inist : 002B27B15. Création : 24/03/1998.