Epidemiology of Elderly Patients Hospitalized in Intensive Care Unit for Severs Medical Illnesses
Science Journal of Public Health
Volume 1, Issue 5, November 2013, Pages: 215-221
Received: Oct. 9, 2013; Published: Oct. 30, 2013
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Rhita Bennis Nechba, Department of Critical Care, El Idrissi Regional Hospital, Kenitra, Morocco; Laboratory of Genetic, Neuroendocrinology and Biothechnology, Ibn Tofaîl University, Kenitra
Moncif El M’barki Kadiri, Department of Nephrology, Dialysis and Transplantation, Military Hospital, Rabat, Morocco
Amine Ali Zeggwagh, Department of Medical Intensive Care, Ibn Sina University Hospital, Rabat, Morocco and Laboratory of Biostatistique, of Clinical Recherche and Epidemiology, Mohammed V University of Medicine and Pharmacy, Rabat, Morocco
Abdelhalim Mesfioui, Laboratory of Genetic, Neuroendocrinology and Biothechnology, Ibn Tofaîl University, Kenitra
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Objectives: This study was made to identify the epidemiological data of elderly patients (over 65 years of age) vs. younger patients (< 65 years) requiring admission to the intensive care unit for severs medical illnesses. Design and patients: We conducted an analysis of a prospective observational study of 106 adults admitted to the intensive care unit for severs medical illnesses, from January 2010 to January 2012. Patients admitted to the intensive care unit for surgical illnesses were excluded. Setting: A 6-bed polyvalent intensive care unit in a regional hospital. Results: The study group included 31(29%) elderly patients (≥65 years of age) and 75 (71%) young patients (<65 years of age) (n=106). Elderly patients tended to have a higher simplified acute physiology score version II in admission (36 vs 21, p<0,001). There were several epidemiological differences between the two groups: Chronic diseases were more frequent in elderly patients than in younger one (diabetes (55% vs 20%; p<0,001), high blood pressure (45% vs 13%; p<0,001) and heart diseases (48% vs 19%; p=0,002). Elderly patients were significantly more hospitalized for delirium comparing to younger one (87% vs 64%; p=0,017), but dyspnea was less percepted by elderly patients 29% vs 55% for younger patients, p=0,016. Acute respiratory distress syndrome, acute heart failure, acute kidney injury, were all more frequent in elderly patients respectively (p= 0,006, p=0,014, p=0,005). The incidence of death was 37% for all patients and it was similar between the two groups (p=0,251). Conclusion: The identification of epidemiology of older patients hospitalized in intensive care unit for severs medical illnesses will help to develop qualified practice. Further studies are needed to better characterize those elderly individuals who may be at the highest risk of complications.
Intensive Care Unit, Elderly, Epidemiology
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Rhita Bennis Nechba, Moncif El M’barki Kadiri, Amine Ali Zeggwagh, Abdelhalim Mesfioui, Epidemiology of Elderly Patients Hospitalized in Intensive Care Unit for Severs Medical Illnesses, Science Journal of Public Health. Vol. 1, No. 5, 2013, pp. 215-221. doi: 10.11648/j.sjph.20130105.15
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