Deaths among the elderly with ICU infections

Abstract

Objective: to evaluate the clinical outcome of elderly patients admitted to intensive care units who had nosocomial infection, correlating the fi ndings with sociodemographic and clinical variables. Method: descriptive research, performed with 308 elderly patients. The collection was made from medical records and covers the years 2012 to 2015. Uni-/bivariate analyses were performed. Results: a statistical association was found between the clinical outcome types and the variables age, length of stay, presence of previous comorbidities, main diagnosis, respiratory and urinary tract infections, use of central venous and indwelling urinary catheters, mechanical ventilation, and tracheostomy. The survival curve showed higher mortality among the elderly from the age of 80 on. Conclusion: the clinical outcome of the elderly who acquire infection in the intensive care unit is infl uenced by sociodemographic and clinical variables that increase mortality rates. Descriptors: Infection; Elderly; Clinical Outcome; Death; Intensive Care Units. RESUMO Objetivo: avaliar o desfecho clínico de idosos que adquiriram infecção hospitalar hospitalizados em Unidades de Terapia Intensiva, correlacionando os achados com variáveis sociodemográfi cas e clínicas. Método: pesquisa descritiva, realizada com 308 pacientes idosos. A coleta deu-se em prontuários e contempla os anos de 2012 a 2015. Realizaram-se análises uni-/bivariadas. Resultados: registrou-se associação estatística entre os tipos de desfechos clínicos e as variáveis: faixa etária, tempo de internação, presença de comorbidades prévias, diagnóstico principal, infecção do trato respiratório e urinário, uso de cateteres vesical de demora e venoso central, ventilação mecânica e traqueostomia. A curva de sobrevivência evidenciou maior mortalidade entre idosos a partir de 80 anos. Conclusão: o desfecho clínico de idosos que adquirem infecção na Unidade de Terapia Intensiva é infl uenciado por variáveis sociodemográfi cas e clínicas, que incrementam as taxas de mortalidade. Descritores: Infecção; Idoso; Desfecho clínico; Óbito; Unidades de Terapia Intensiva. RESUMENObjetivo: evaluar el desenlace clínico de ancianos que adquirieron infección intrahospitalaria durante internación en Unidades de Terapia Intensiva, correlacionando los hallazgos con variables sociodemográfi cas y clínicas. Método: investigación descriptiva, realizada con 308 pacientes ancianos. Datos recolectados de historias clínicas, considerando los años de 2012 a 2015. Se realizaron análisis uni/bivariados. Resultados: se registró asociación estadística entre los tipos de desenlace clínico y las variables: faja etaria, tiempo de internación, presencia de comorbilidades previas, diagnóstico principal, infección del tracto respiratorio y urinario, uso de catéteres vesicales de demora y venoso central, ventilación mecánica y traqueotomía. La curva de supervivencia evidenció mayor mortalidad entre ancianos a partir de los 80 años. Conclusión: el desenlace clínico de ancianos que adquieren infecciones en Unidades...

Epidemiological and clinical characteristics of healthcare-associated infection in elderly patients in a large Chinese tertiary hospital: a 3-year surveillance study

“…Furthermore, elderly inpatients with HAIs have poor prognosis and increased economic burden [18]. One study evaluated elderly patients who had an HAI in the ICU and found that clinical outcomes of the elderly who acquired an infection in the ICU were influenced by sociodemographic and clinical variables that increase mortality rates [19]. Another study of HAI in elderly patients identified the following risk factors: advanced age; comorbid neurological and chronic noncommunicable diseases such as cerebral hemorrhage, cerebral infarction, brain neoplasms, diabetes mellitus, coronary artery disease, malignant tumor and malignant hematonosis; hospital days before HAI; ICU admission; and device use [9].…”

Sobrecargas física, emocional e social dos cuidadores informais de idosos

“…This state of dependence, whether due to the appearance of non-transmissible chronic diseases and their consequences or due to the cognitive and functional losses of advancing age demand home care and changes in the daily lives of many families. (1)(2)(3)(4) The family is assigned the responsibility of assisting its aging members. The family caregivers are part of the informal support network, consisting of family members, friends, acquaintances, and neighbors, who work without pay.…”

“…This fact marks the difference from the formal network of caregivers, composed of professionals, whether at home, in hospital or outpatient institutions. (2) Informal care is the most frequent model of care for the elderly identified in the literature, but there is no clear description of the geographical areas where this care takes place. (3) Many relatives prefer this, possibly because of their cultural values, lack of formal care services or lack of financial resources to hire a caregiver.…”

Health situation in the perception of elderly widows assisted by primary health care

“…The process of ageing population occurs through the constant increase of the years of life associated with the drop in fertility and mortality, and can be defined as a multifaceted process throughout the entire life course (1)(2) .…”