[47-percent 6-months-long survival for intensive care patients over 80].
All 112 patients aged 80 and above treated at the intensive care unit at the University Hospital in Lund, Sweden 1994-1995 were followed-up retrospectively in terms of six-month survival (SMS) and for survivors in terms of quality of life. Overall SMS was the same for both men and women--47%. Patients with the poorest SMS were those aged 90 and above with only one patient out of eleven surviving six months. Patients admitted for severe heart failure also showed a very poor outcome with SMS 27%. Patients were grouped in terms of living conditions prior to admission to the ICU, and a significant difference in six-month survival was noted between those living in their own homes (53%) prior to admission compared to those coming from a nursing home (25%). Patients surviving six months were interviewed by telephone regarding their living situation in March 1997. More than 50% of survivors were living in their own homes with external help no more than once a day. The average APACHE II score was 14.9 +/- 8.2. The average score for patients surviving six months was 13.4 +/- 5.9 and for those not surviving six months 16.8 +/- 5.1. No significant statistical difference in APACHE II scores between these two groups was shown.
Lindqvist
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Universitetssjukhuset i Lund. ninnilindqvist@iname.com
Lindqvist
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D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003422:Critical Care / Q000191:economics; D004992:Ethics, Medical; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D011788:Quality of Life; D012189:Retrospective Studies; D015996:Survival Rate; D017741:Survivors / Q000523:psychology; D013548:Sweden / Q000453:epidemiology
Halvårsöverlevnad 47 procent för intensivvårdade över 80 år.