Characteristics and Outcomes of Elderly Patients Refused to ICU
المؤلفون المشاركون
Pintado, María-Consuelo
Villa, Patricia
González-García, Natalia
Luján, Jimena
Molina, Rocío
Trascasa, María
López-Ramos, Esther
Martínez, Cristina
Cambronero, José-Andrés
de Pablo, Raúl
المصدر
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-12-25
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الطب البشري
تكنولوجيا المعلومات وعلم الحاسوب
الملخص EN
Background.
There are few data regarding the process of deciding which elderly patients are refused to ICU admission, their characteristics, and outcome.
Methods.
Prospective longitudinal observational cohort study.
We included all consecutive patients older than 75 years, who were evaluated for admission to but were refused to treatment in ICU, during 18 months, with 12-month followup.
We collected demographic data, ICU admission/refusal reasons, previous functional and cognitive status, comorbidity, severity of illness, and hospital and 12-month mortality.
Results.
338 elderly patients were evaluated for ICU admission and 88 were refused to ICU (26%).
Patients refused because they were “too ill to benefit” had more comorbidity and worse functional and mental situation than those admitted to ICU; there were no differences in illness severity.
Hospital mortality rate of the whole study cohort was 36.3%, higher in patients “too ill to benefit” (55.6% versus 35.8%, P<0.01), which also have higher 1-year mortality (73.7% versus 42.5%, P<0.01).
High comorbidity, low functional status, unavailable ICU beds, and age were associated with refusal decision on multivariate analysis.
Conclusions.
Prior functional status and comorbidity, not only the age or severity of illness, can help us more to make the right decision of admitting or refusing to ICU patients older than 75 years.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Pintado, María-Consuelo& Villa, Patricia& González-García, Natalia& Luján, Jimena& Molina, Rocío& Trascasa, María…[et al.]. 2013. Characteristics and Outcomes of Elderly Patients Refused to ICU. The Scientific World Journal،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1033083
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Pintado, María-Consuelo…[et al.]. Characteristics and Outcomes of Elderly Patients Refused to ICU. The Scientific World Journal No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-1033083
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Pintado, María-Consuelo& Villa, Patricia& González-García, Natalia& Luján, Jimena& Molina, Rocío& Trascasa, María…[et al.]. Characteristics and Outcomes of Elderly Patients Refused to ICU. The Scientific World Journal. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1033083
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1033083
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر