Keywords
Envejecimiento
Mortalidad
Cuidados críticos
Pronóstico Aged
Aging
Mortality
Critical care
Prognosis
How to Cite
Abstract
Background: Increased life expectancy of the population translates into increased odds of requiring intensive care unit admission. The clinical course and the outcome of critically ill octogenarians have not been measured. Objective: To describe the clinical course of octogenarians admitted to the intensive care unit in 2015. Methodology: Observational, descriptive study. This research included all the octogenarians admitted to the intensive care unit in 2015, and measured clinical, demographic and epidemiological variables, length of stay, advanced support, vital status at the time of intensive care unit discharge and vital status at discharged from the institution. Results: 129 octogenarians were included; 97 (76,38%) were discharged alive from the ICU, with a 22.8% (n=29) mortality. Survival at the end of hospitalization was 66% (n=85). The multivariate analysis showed that variables such as age, mechanical ventilation, and use of vasopressors are significantly associated with intensive care unit survival. Conclusions: Local studies are required to evaluate quality of life at discharge, validation of self-care and self-sufficiency scales, in addition to studies to evaluate costs and use of resources in the elderly, as well as expanding knowledge about geriatrics, palliative care, end-of-life care, bioethics and the scope of vital support, cardiopulmonary resuscitation and intensive care for the elderly patient. Having anticipatory guidelines in the octogenarian patient, and endof-life decisions prior to intensive care unit admission, or establishing a care plan allows for guided therapy avoiding futile management.
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