Clinical evolution of adult, elderly and very elderly patients admitted in Intensive Care Units

This study compared clinical outcomes among adult, elderly and very elderly patients admitted to Intensive Care Units (ICUs) located in São Paulo, Brazil. This retrospective, longitudinal and comparative study included 279 adult (≥18 and <60 years), 216 elderly (≥60 and <80 years) and 105 very elderly (≥80 years) patients. Adult patients differed from other groups regarding the unit to which they were referred and severity, according to the Simplified Acute Physiology Score II. Adults were most frequently sent to hospitalization wards; elderly and very elderly patients who survived hospitalization in critical units showed sharper improvement before discharge. There were differences in relation to mortality between adult and elderly patients, with a higher rate in the elderly group; however, the mortality rate of very elderly and adult patients was similar. In general, the results indicated that older age was not associated with undesirable outcomes in ICUs.

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Main Authors: Oliveira,Verônica Cunha Rodrigues de, Nogueira,Lilia de Souza, Andolhe,Rafaela, Padilha,Katia Grillo, Sousa,Regina Marcia Cardoso de
Format: Digital revista
Language:English
Published: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2011
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692011000600010
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spelling oai:scielo:S0104-116920110006000102012-01-16Clinical evolution of adult, elderly and very elderly patients admitted in Intensive Care UnitsOliveira,Verônica Cunha Rodrigues deNogueira,Lilia de SouzaAndolhe,RafaelaPadilha,Katia GrilloSousa,Regina Marcia Cardoso de Age Groups Severity of Illness Index Intensive Care Units Aged Aged, 80 and over This study compared clinical outcomes among adult, elderly and very elderly patients admitted to Intensive Care Units (ICUs) located in São Paulo, Brazil. This retrospective, longitudinal and comparative study included 279 adult (≥18 and <60 years), 216 elderly (≥60 and <80 years) and 105 very elderly (≥80 years) patients. Adult patients differed from other groups regarding the unit to which they were referred and severity, according to the Simplified Acute Physiology Score II. Adults were most frequently sent to hospitalization wards; elderly and very elderly patients who survived hospitalization in critical units showed sharper improvement before discharge. There were differences in relation to mortality between adult and elderly patients, with a higher rate in the elderly group; however, the mortality rate of very elderly and adult patients was similar. In general, the results indicated that older age was not associated with undesirable outcomes in ICUs.info:eu-repo/semantics/openAccessEscola de Enfermagem de Ribeirão Preto / Universidade de São PauloRevista Latino-Americana de Enfermagem v.19 n.6 20112011-12-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692011000600010en10.1590/S0104-11692011000600010
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libraryname SciELO
language English
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author Oliveira,Verônica Cunha Rodrigues de
Nogueira,Lilia de Souza
Andolhe,Rafaela
Padilha,Katia Grillo
Sousa,Regina Marcia Cardoso de
spellingShingle Oliveira,Verônica Cunha Rodrigues de
Nogueira,Lilia de Souza
Andolhe,Rafaela
Padilha,Katia Grillo
Sousa,Regina Marcia Cardoso de
Clinical evolution of adult, elderly and very elderly patients admitted in Intensive Care Units
author_facet Oliveira,Verônica Cunha Rodrigues de
Nogueira,Lilia de Souza
Andolhe,Rafaela
Padilha,Katia Grillo
Sousa,Regina Marcia Cardoso de
author_sort Oliveira,Verônica Cunha Rodrigues de
title Clinical evolution of adult, elderly and very elderly patients admitted in Intensive Care Units
title_short Clinical evolution of adult, elderly and very elderly patients admitted in Intensive Care Units
title_full Clinical evolution of adult, elderly and very elderly patients admitted in Intensive Care Units
title_fullStr Clinical evolution of adult, elderly and very elderly patients admitted in Intensive Care Units
title_full_unstemmed Clinical evolution of adult, elderly and very elderly patients admitted in Intensive Care Units
title_sort clinical evolution of adult, elderly and very elderly patients admitted in intensive care units
description This study compared clinical outcomes among adult, elderly and very elderly patients admitted to Intensive Care Units (ICUs) located in São Paulo, Brazil. This retrospective, longitudinal and comparative study included 279 adult (≥18 and <60 years), 216 elderly (≥60 and <80 years) and 105 very elderly (≥80 years) patients. Adult patients differed from other groups regarding the unit to which they were referred and severity, according to the Simplified Acute Physiology Score II. Adults were most frequently sent to hospitalization wards; elderly and very elderly patients who survived hospitalization in critical units showed sharper improvement before discharge. There were differences in relation to mortality between adult and elderly patients, with a higher rate in the elderly group; however, the mortality rate of very elderly and adult patients was similar. In general, the results indicated that older age was not associated with undesirable outcomes in ICUs.
publisher Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
publishDate 2011
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692011000600010
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