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Clinical profile, outcomes and predictors of mortality in elderly patients admitted to the emergency medicine intensive care unit of a teaching hospital - A single-center registry. | LitMetric

AI Article Synopsis

  • - The study aimed to analyze the clinical profile and mortality rates of elderly patients (60 years and older) admitted to an emergency department-intensive care unit (ED-ICU) in order to inform health policies in geriatric emergency medicine.
  • - A total of 503 patient records were analyzed, revealing a mortality rate of 21.07%, with the most frequent complaint being breathing difficulties and pneumonia being the leading cause of death.
  • - Significant predictors of mortality included hypertension, chronic liver disease, malignancy, and the need for noninvasive ventilation, intubation, or vasopressors, indicating that patients with these conditions face higher risks in the ED-ICU.

Article Abstract

Aim: Emergency intensive care of the elderly is often complicated and multifaceted. Understanding the clinical profile of elderly patients admitted in an emergency department-intensive care unit (ED-ICU) is crucial in planning health policies in geriatric emergency medicine. Thus, the aim of the study was to create a local registry of elderly people utilizing the ED-ICU services and to understand the rate and predictors of mortality.

Methods: A retrospective chart analysis was performed including all patients aged ≥60 years who had an ED-ICU admission during a 6-month period (August 2018-January 2019). A structured case record form was used to capture information such as basic demography, clinical profile, and outcomes.

Results: Total number of records considered for final analysis were 503. Mortality was seen in 21.07% (n = 106/503). The most common presenting complaint and cause of death was breathing difficulty (n = 48/503; 29.42%) and pneumonia (n = 41/106; 38.67%), repectively. The significant predictors of mortality [adjusted odds ratio; 95% confidence intervals; value] were hypertension (2.195; 1.255, 3.840; 0.006), chronic liver disease (CLD) (4.324; 1.170, 15.979; 0.028), malignancy (2.854; 1.045, 7.796; 0.041), requiring noninvasive ventilation (NIV) (2.618; 1.449, 4.730; 0.001), requiring intubation (6.638; 3.705, 11.894; <0.001), and requiring vasopressors (3.583; 1.985, 6.465; <0.001).

Conlusion: Approximately one in every five elderly patients getting admitted in ED-ICU died, and respiratory illness was the common diagnosis leading to death. Those with comorbidities such as hypertension, CLD, or malignancy and those requiring NIV, intubation, or vasopressors had higher mortality.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8653501PMC
http://dx.doi.org/10.4103/jfmpc.jfmpc_630_21DOI Listing

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