The very elderly surgical population in a critically ill scenario: clinical characteristics and outcomes [A população cirúrgica muito idosa em cuidados intensivos: características clínicas e desfechos]

• Tipo: Artigo em Revista Científica Internacional
• Data: 2020

Autores

Silva, DDJN (Autor) Outra; Casimiro, LGG (Autor) Outra; Oliveira, MISD (Autor) Outra; Ferreira, LBDC (Autor) Outra; Abelha, FJPA (Autor) FMUP

Revista

Título: Revista Brasileira de Anestesiologia

Vol. 70

Páginas: 3-8

ISSN: 0034-7094

Editora: Elsevier

Indexação

ISI Web of Knowledge - 4 Citações

Scopus - 5 Citações

Outras Informações

ID Authenticus: P-00R-VPR

DOI: 10.1016/j.bjan.2019.10.001

Abstract (EN): Background: The elderly population is an especially heterogeneous group of patients with a rising number of surgical interventions being performed in the very elderly patient. The aim of this study was to evaluate the correlation between different age strata and functional status with the surgical outcome of the elderly patient. Methods: Retrospective cohort study conducted in a Surgical Intensive Care Unit (SICU), between 2006 and 2013. A total of 2331 surgical patients ¿ 65 years old were included. Patients were grouped according to age: Older Elderly Group (OEG: 65-85 years old); Very Elderly Group (VEG > 85 years old). Demographic and perioperative data were recorded. Revised Cardiac Risk Index, APACHE II and SAPS II scores were calculated and postoperative complications were documented. Variables were compared on univariate analysis. Results: The incidence of the VEG was 5.4%. This group had a higher proportion of non-elective surgery (22.4% vs. 11.2%, p < 0.001), higher APACHE II (12.0 vs. 10.0, p < 0.001) and SAPS II (26.6 vs. 22.2, p < 0.001) scores, higher incidence of organ failure (24.6% vs. 17.6%, p = 0.048) and a higher mortality rate during SICU (14.0% vs. 5.2%, p = 0.026) and hospital stay (9.3% vs. 5.0%, p = 0.012). Conclusion: We found that very elderly patients represented a significant proportion of patients admitted to the SICU. They had higher severity scores with a higher prevalence of organ failure and were more likely to undergo non-elective surgery. They had worse outcomes in regarding mortality during SICU and hospital stay. © 2020 Sociedade Brasileira de Anestesiologia

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 6