Análise dos óbitos em idosos no Estudo SABE

Maia, Flávia de Oliveira Motta; Duarte, Yeda Aparecida de Oliveira; Lebrão, Maria Lúcia

doi:10.1590/s0080-62342006000400013

Cited by 28 publications

(28 citation statements)

References 5 publications

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“…As demographic changes occur with increased expectancy of life, the increase of the elderly population is also observed, including within ICUs (2) . Studies indicate that whatever the health indicator analyzed, results show a greater proportion of disorders among those older than 60 years of age accruing from chronic diseases that should be identified early, treated and monitored to reduce mortality and costs from healthcare (3)(4) .…”

Section: Introductionmentioning

confidence: 99%

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

Oliveira¹,

Nogueira

Andolhe

et al. 2011

Rev. Latino-Am. Enfermagem

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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.Descriptors: Age Groups; Severity of Illness Index; Intensive Care Units; Aged; Aged, 80 and over. Evolución clínica de adultos, ancianos y muy ancianos internados en Unidades de Terapia IntensivaEl estudio comparó la evolución clínica de adultos, ancianos y muy ancianos internados en ancianos (≥60 y <80 años) y 105 muy ancianos (≥80 años). Los adultos difirieron de los otros grupos en relación a la unidad de destino y evolución de la gravedad, según Simplified Acute Physiology Score II. Fue más frecuente el encaminamiento de los adultos para unidades de internación, sin embargo los ancianos y muy ancianos sobrevivientes de la internación en la unidad crítica presentaron mejoría más acentuada antes del alta.Entre adultos y ancianos ocurrió diferencia en relación a la mortalidad, con mayor tasa en el grupo más viejo; entretanto, la mortalidad de los muy ancianos y adultos fue similar.En general, los resultados indicaron que la edad más avanzada no fue factor asociado a los resultados indeseables de la asistencia intensiva.

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Section: Introductionmentioning

confidence: 99%

“…In situations when the body is overloaded, the homeostatic balance is harmed, which makes an elderly individual more susceptible to disorders and diseases (3,5) . Additionally, elderly patients' responses to treatment, when compared to younger patients, may be harmed given a low physiological reserve, inherent to the aging process.…”

Section: Introductionmentioning

confidence: 99%

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

Oliveira¹,

Nogueira

Andolhe

et al. 2011

Rev. Latino-Am. Enfermagem

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“…15 been done, and the main causes of death in this population were cardiovascular diseases, neoplasms, respiratory diseases, gastrointestinal diseases, endocrine, nutritional or metabolic diseases and others. (5,(7)(8)(9) The analysis of risk factors for death in elderly patients showed that advanced age was the strongest prognostic factor. Male gender is also considered a risk factor for death in the elderly.…”

Section: Introductionmentioning

confidence: 99%

“…Male gender is also considered a risk factor for death in the elderly. (8,9) There is a lack of studies investigating risk factors for death among critically ill elderly patients. The present study was conducted to investigate the factors associated with death in a population of critically ill elderly patients admitted to an ICU in Brazil.…”

Section: Introductionmentioning

confidence: 99%

Fatores de risco para óbito em pacientes idosos gravemente enfermos

Alves¹,

Júnior²,

Lima³

et al. 2010

Rev. bras. ter. intensiva

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Fatores de risco para óbito em pacientes idosos gravemente enfermos INTRODUCTIONThe elderly population is increasing all over the world. It is estimated that the population older than 80 years-old will increase 40% between 1995 and 2015.(1) The US census estimates that by 2050, approximately 20.1% (88.5 million) of the US population will be older than 65, and 4.3% (19.04 million) will be older than 85 years of age.(2) The consequence is an increase in chronic diseases and corresponding expectations of eventual decline in function. (3,4) Many investigators have reported rising numbers of elderly patients admitted to intensive care units (ICUs). (5)(6)(7) In the last years some studies regarding mortality in elderly patients have ABSTRACT Background:The elderly population is increasing all over the world. The need of intensive care by the elderly is also increasing. There is a lack of studies investigating the risk factors for death among critically ill elderly patients. This study aims to investigate the factors associated with death in a population of critically ill elderly patients admitted to an intensive care unit in Brazil.Methods: This is a retrospective cohort study including all elderly patients (>60 years) admitted to an intensive care unit in Fortaleza, Brazil, from January to December 2007. A comparison between survivors and nonsurvivors was done and the risk factors for death were investigated through univariate and multivariate analysis.Results: A total of 84 patients were included, with an average age of 73 ± 7.6 years; 59% were female. Mortality was 62.8%. The main cause

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“…Este verificou que as taxas de mortalidade por doenças cardiovasculares aumentavam conforme o avançar da idade; e ainda, que são estas as doenças que representam quase metade do total dos óbitos (47%) na população idosa. 22 Segundo Marin et al, 21 muitas dessas enfermidades, por serem crônicas, demandam alto custo na assistência à saúde, além de propiciarem o surgimento de complicações com grande interferência no grau de dependência e qualidade de vida das pessoas. Entre as pessoas idosas, é comum a ocorrência de mais de uma condição crônica simultânea, elevando o risco de complicações, de ocorrência de incapacidades e instalação de quadros de dependência, que, em última análise, comprometem a qualidade de vida tanto dos idosos quanto de seus familiares, além de representarem um desafio para as políticas públicas de saúde.…”

Section: Introductionunclassified