Morbimortalidade do idoso internado na Unidade de Terapia Intensiva de Hospital Universitário de Fortaleza

Pulmonary complications in patients undergoing coronary artery bypass grafting at a hospital in Maceio, Brazil [I] Complicações pulmonares em pacientes submetidos à cirurgia de revascularização do miocárdio em um hospital de Maceió [A] Ana Carolina do Nascimento Calles [a] , Jéssyca Lane Fausto Lira [a] , Karolyne Soares Barbosa Granja [a] , Jaime Dativo de Medeiro [a] , Adoniran Rodrigues Farias [b] , Ricardo César Cavalcanti [c]* [a] Centro Universitário Tiradentes (UNIT), Maceió, AL, Brazil [b] Universidade Estadual de Ciências da Saúde de Alagoas (UNCISAL), Maceió, AL, Brazil [c] Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil [R] Abstract Introduction: Despite technological advances aimed at reducing complications and hospital stay, pulmonary complications in the postoperative period of CABG surgery remain one of the most important causes of morbidity. These may be related to the patient's quality of life, the use of cardiopulmonary bypass, as well as a decline in postoperative respiratory muscle strength, contributing to the emergence of restrictive respiratory disorders. Objective: Assess pulmonary complications in patients undergoing coronary artery bypass graft surgery and identify their association with risk factors. Methods: A retrospective study with non-probability convenience sampling of 168 patients at the Hospital Calles ACN, Lira JLF, Granja KSB, Medeiro JD, Farias AR, Cavalcanti RC. 662 failure (1.2%); and bronchopneumonia (0.6%). Female patients and those aged 70 years or older experienced more pulmonary complications after surgery. Conclusion: Women and patients older than 70 years had the most severe postoperative pulmonary complications, the most common being pleural effusion and atelectasis.

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“…The daily ICU costs for these patients are seven-fold higher than for individuals under 65 years of age (17,18).…”

Section: Discussionmentioning

confidence: 92%

Pulmonary complications in patients undergoing coronary artery bypass grafting at a hospital in Maceio, Brazil

et al. 2016

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“…Other studies found mortality between 6.4% and 40% of critically ill elderly patients. (11,20) In a recent study performed in São Paulo, Brazil, including 840 patients older than 55 years admitted to an ICU, age was significantly associated with in-hospital mortality (OR=2.68 for patients older than 75 years and OR=1.60 for those between 65-74 years-old). (21) Blot et al, in a study with 984 critically ill patients with bloodstream infection (134 aged ≥ 75 years), evidenced an increase in the number of elderly patients admitted in a period of 15 years, and mortality increased with age (42.9%, 49.1% and 56% for middle-aged -45-64 years, old -65-74 years and very old patients ≥ 75 years).…”

Section: Discussionmentioning

confidence: 99%

“…(10) This is one of the few studies on this subject in our region. (11,12) We included patients older than 60 years, according to the definition of elderly used by the Brazilian Ministry of Health, although in the majority of the studies use the cut-off of 65 years to define an elderly patient. In the present study, age varied from 60 to 89 years-old, and non-survivors were older than survivors, evidencing a significant association between advanced age and increased mortality.…”

Section: Discussionmentioning

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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“…These results suggest that extreme ages do not differ in relation to mortality in ICUs. Additionally, other studies have shown that mortality is not isolated associated with age but also with the clinical conditions of the patients and associated factors such as: severity of acute dysfunction, comorbidities, and the patients' functional condition before being admitted in ICU (19)(20) .…”

Section: Discussionmentioning

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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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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Morbimortalidade do idoso internado na Unidade de Terapia Intensiva de Hospital Universitário de Fortaleza

Cited by 28 publications

References 5 publications

Pulmonary complications in patients undergoing coronary artery bypass grafting at a hospital in Maceio, Brazil

Pulmonary complications in patients undergoing coronary artery bypass grafting at a hospital in Maceio, Brazil

Fatores de risco para óbito em pacientes idosos gravemente enfermos

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

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