Factors Associated with the Outcome of Older Patients Admitted in Geriatric Intensive Care Unit

2019 ◽  
Vol 15 (2) ◽  
pp. 53-58
Author(s):  
D. Thangam ◽  
S. Deepa
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Older Patients ◽  
Statistical Significance ◽  
Geriatric Medicine ◽  
Ventilatory Support ◽  
Cross Sectional ◽  
Duration Of Stay ◽  
Factors Associated ◽  
Study Participants

Objective: To determine the factors associated with the outcome of older patients admitted in Geriatric Intensive Care Unit. Materials and Methods: This cross-sectional, observational study was conducted in the Geriatric Intensive Care Unit of the Department of Geriatric Medicine, Madras Medical College, Chennai. one hundred and seventy two patients, aged 60 and above, admitted in the Geriatric ICU during the period of 6 months, from January 2017 to June 2017, were selected to participate in this study. Data regarding age, sex, number of comorbidities, major organ system involved, duration of stay and procedures underwent in the ICU were collected and analyzed. Results: Out of the 172 samples, 92 were males, and 80 were females. The mean age of the study population was 70.1 ± 8.3 years. We found no association between age and survival (p=0.581), gender and survival (p=0.298). 30.2% of the samples who expired had four comorbidities. We found a statistically significant association between the number of comorbidities and outcome (p<0.008). Around 44 patients (25.6%) had respiratory problems, and it was the commonest cause of admission to ICU in this study. We found no association between major system involved and outcome (p=0.089). Sixty of the study participants (34.9%) needed mechanical ventilatory support. We found a statistical significance between procedure underwent and outcome (p<0.001). 57.5% of the study participants stayed in the GICU up to 1 week. We found a statistical significance between the duration of stay and outcome (p=0.022). In this study, 71.5% of the study participants survived, 3.5% of them went against medical advice, and 25% of them expired. Conclusion: In this study, the outcome of older patients admitted in Geriatric Intensive Care Unit depended on the number of preexisting comorbidities, length of stay and procedure underwent during the ICU stay but not the chronological age. In this study, only one in four died after undergoing treatment in the Geriatric Intensive care unit. Geriatric intensive care services can improve the outcome of older patients admitted with a critical illness.

scholarly journals Factors associated with death among postpartum women with COVID-19: a Brazilian population-based study

2021 ◽  
Vol 29 ◽  
Author(s):  
Anelise de Toledo Bonatti ◽  
Nathassia Miller ◽  
Maria Antonieta de Barros Leite Carvalhaes ◽  
Rodrigo Jensen ◽  
Cristina Maria Garcia de Lima Parada
Keyword(s):  
Intensive Care ◽  
Ventilatory Support ◽  
Signs And Symptoms ◽  
Population Based ◽  
Epidemiological Surveillance ◽  
Postpartum Women ◽  
Cross Sectional ◽  
Population Based Study ◽  
Factors Associated ◽  
Respiratory Signs And Symptoms

Objective: to identify the factors associated with death due to COVID-19 among Brazilian postpartum women in the first five months of the pandemic and five subsequent months, and describe the sociodemographic and clinical characteristics of postpartum women who developed the disease. Method: cross-sectional population-based study using a secondary database available in the Sistema de Informação de Vigilância Epidemiológica da Gripe -SIVEP-Gripe (Influenza Epidemiological Surveillance Information System), Brazilian Ministry of Health. A total of 869 postpartum women were included, and the analysis considered the first five months of the pandemic and subsequent five months. Association between the variables of interest and outcome (death due to COVID-19/cure) was investigated using logistic regression. Results: most participants were aged between 20 and 34, of mixed race or Caucasian, and lived in the urban/peri-urban area. The proportion of deaths was 20.2% in the first period and 11.2% in the second. The likelihood of death increased in both periods due to the presence of respiratory signs and symptoms: dyspnea, respiratory distress, and oxygen saturation below 95%, in addition to the need for ventilatory support and intensive care. Conclusion: the proportion of deaths among postpartum women was high and decreased in the second period under study. Respiratory signs and symptoms, mechanical ventilation, and intensive care were associated with death in both periods.

scholarly journals PREVALENCE OF FRICTION INJURY AND ASSOCIATED FACTORS IN ELDERLY IN INTENSIVE THERAPY

2020 ◽  
Vol 29 ◽  
Author(s):  
Chrystiany Plácido de Brito Vieira ◽  
Patrícia de Carvalho Ferreira ◽  
Telma Maria Evangelista de Araújo ◽  
Fernando José Guedes da Silva Júnior ◽  
Francisca Tereza de Galiza ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Associated Factors ◽  
Analytical Study ◽  
Statistical Significance ◽  
Intensive Therapy ◽  
The Elderly ◽  
Cross Sectional ◽  
Significance Level ◽  
Scaly Skin

ABSTRACT Objective: to analyze the prevalence of friction injuries and associated factors in the elderly admitted to the Intensive Care Unit. Method: a cross-sectional analytical study, developed in an Intensive Care Unit of a Teaching hospital, with a sample of 101 elderly. Data collection was conducted from November 2017 to May 2018, through interviews, consulting medical records and physical examination. For analysis, descriptive and inferential statistics were performed. Strength of associations between variables measured by odds ratio and 95% confidence intervals. Statistical significance level was set at 5% for all analyzes. Results: the sample studied had a mean age of 71.39 years, mostly male, married and without schooling, with more than one comorbidity, dependent, with dry and scaly skin and bruising on the extremities. The prevalence of friction injury was 28.7%, with an average of 1.93 injuries per elderly. There was a statistically significant association between the occurrence of friction injury with age, comorbidities, dry and scaly skin. Conclusion: the prevalence of friction injury was high and associated with age, comorbidities, dry and scaly skin, and mean duration of corticosteroid use.

scholarly journals Perfil dos pacientes de terapia intensiva em um hospital de emergência

2019 ◽  
Vol 13 ◽  
Author(s):  
Sara Maria Costa ◽  
Juliane Araújo Silva ◽  
Maria Erineide Santos ◽  
José César Cerqueira ◽  
Josineide Soares Silva ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Social Science ◽  
Pearson Correlation ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Car Accidents ◽  
Terapia Intensiva

Objetivo: traçar o perfil epidemiológico dos pacientes internados na Unidade de Terapia Intensiva. Método: trata-se de um estudo quantitativo, descritivo e transversal, com prontuários de 212 pacientes. Analisaram-se os dados por meio do pacote estatístico software Statistical Package for Social Science. Realizaram-se média, desvio-padrão, correlação de Pearson e o valor de p <0,05 foi considerado para significância estatística. Resultados: demonstrou-se que a maioria dos pacientes foi composta por homens, jovens, vítimas de acidentes automobilísticos, em especial, as quedas de moto, diagnosticados com traumatismo cranioencefálico, permanecendo até sete dias internados sendo transferidos para a unidade de internação do mesmo hospital. Conclusão: conclui-se que a caracterização do perfil dos pacientes possibilita a implementação de estratégias de prevenção dentro e fora do hospital, visando a diminuição dos acidentes automobilísticos e o melhor direcionamento da assistência prestada em Unidade de Terapia Intensiva. Descritores: Epidemiologia; Cuidados de Enfermagem; Cuidados Intensivos; Enfermagem em Cuidados Críticos; Perfil de Saúde; Enfermagem.AbstractObjective: to outline the epidemiological profile of patients admitted to the Intensive Care Unit. Method: this is a quantitative, descriptive and cross-sectional study with medical records of 212 patients. Data was analyzed using the Statistical Package for Social Science software package. Mean, standard deviation, Pearson correlation and p <0.05 were considered for statistical significance. Results: it was shown that most patients were men, young people, victims of car accidents, especially motorcycle crashes, diagnosed with traumatic brain injury, staying up to seven days in hospital being transferred to the inpatient unit of the same hospital. Conclusion: it is concluded that the characterization of the patients profile allows the implementation of prevention strategies inside and outside the hospital, aiming at the reduction of car accidents and the better direction of care provided in Intensive Care Unit. Descriptors: Epidemiology; Nursing Care; Critical Care; Critical Care Nursing; Health Profile; Nursing.ResumenObjetivo: describir el perfil epidemiológico de los pacientes ingresados en la Unidad de Cuidados Intensivos. Método: este es un estudio cuantitativo, descriptivo y transversal, con registros médicos de 212 pacientes. Los datos se analizaron utilizando el paquete estadístico de software Statistical Package for Social Science. La media, la desviación estándar, la correlación de Pearson y p <0,05 se consideraron para la significación estadística. Resultados: se demostró que la mayoría de los pacientes eran hombres, jóvenes, víctimas de accidentes automovilísticos, especialmente, las caídas de motocicletas, diagnosticados con lesiones cerebrales traumáticas, que permanecieron hasta siete días en el hospital y fueron trasladados a la unidad de hospitalización del mismo hospital. Conclusión: se concluye que la caracterización del perfil del paciente permite la implementación de estrategias de prevención dentro y fuera del hospital, con el objetivo de reducir los accidentes automovilísticos y la mejor dirección de la atención brindada en la Unidad de Cuidados Intensivos. Descriptores: Epidemiología; Cuidados de Enfermería; Cuidados Intensivos; Enfermería en Cuidados Críticos; Perfil de Salud; Enfermería.

scholarly journals Cross‐sectional survey of factors associated with paternal involvement in the neonatal intensive care unit

2019 ◽  
Vol 28 (21-22) ◽  
pp. 3977-3990
Author(s):  
Gina Clarkson ◽  
Mary Jo Gilmer ◽  
Elizabeth Moore ◽  
Mary S. Dietrich ◽  
Brent A. McBride
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Paternal Involvement ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated

scholarly journals Perfil epidemiológico dos pacientes com sepse de foco abdominal

2019 ◽  
Vol 13 ◽  
Author(s):  
Natasha Varjão Volpáti ◽  
Patricia Rezende Do Prado ◽  
Luís Eduardo Maggi
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Septic Shock ◽  
Intensive Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Factors Associated ◽  
Factores De Riesgo ◽  
Terapia Intensiva

Objetivo: identificar o perfil epidemiológico, os fatores associados ao óbito e nortear as intervenções de enfermagem frente aos pacientes com sepse de foco abdominal. Método: trata-se de um estudo quantitativo, descritivo, transversal, realizado com 40 pacientes internados em uma em uma Unidade de Terapia Intensiva. Realizou-se a associação com o óbito por meio dos testes de qui-quadrado de Pearson e exato de Fisher. Apresentaram-se os resultados em forma de tabelas. Resultados: registra-se que, dos 40 (100%) pacientes, 57,5% eram do sexo masculino, 67,5% tinham um diagnóstico inicial pertencente ao sistema gastrointestinal. Elencam-se as variáveis que apresentaram a associação com o óbito nesta UTI: idade maior a 60 anos, que, embora representasse apenas 22,5% da amostra, respondeu por, aproximadamente, 90% das mortes (p-valor 0,005) e pacientes que foram classificados com choque séptico, já que 56,7% dos 75% foram a óbito (p-valor 0,04). Conclusão: entende-se que os fatores de risco associados ao óbito nos pacientes com sepse de foco abdominal na UTI estão relacionados com idade maior a 60 anos e com choque séptico. Descritores: Sepse; Fatores de Risco; Mortalidade; Unidade de Terapia Intensiva; Enfermagem; Perfil Epidemiológico.Abstract Objective: to identify the epidemiological profile, the factors associated with death, and to guide nursing interventions in patients with sepsis of abdominal focus. Method: this is a quantitative, descriptive, cross-sectional study of 40 patients hospitalized in one in an Intensive Care Unit. The association with death was performed using Pearson's chi-square test and Fisher's exact test. Results were presented in the form of tables. Results: it was recorded that of the 40 (100%) patients, 57.5% were male, 67.5% had an initial diagnosis belonging to the gastrointestinal system. The variables that showed association with death in this ICU were: age greater than 60 years, which, although representing only 22.5% of the sample, accounted for approximately 90% of the deaths (p-value 0.005) and patients which were classified as septic shock, since 56.7% of the 75% died (p-value 0.04). Conclusion: it is understood that the risk factors associated with death in patients with sepsis of abdominal focus in the ICU are related to age greater than 60 years and with septic shock. Descriptors: Sepsis; Risk Factors; Mortality; Intensive Care Unit; Nursing; Profile Epidemiological.Resumen Objetivo: identificar el perfil epidemiológico, los factores asociados al óbito y orientar las intervenciones de enfermería frente a los pacientes con sepsis de foco abdominal. Método: se trata de un estudio cuantitativo, descriptivo, transversal, realizado con 40 pacientes internados en una Unidad de Terapia Intensiva. Se realizó la asociación con el óbito por medio de las pruebas de chi-cuadrado de Pearson y exacto de Fisher. Se presentaron los resultados en forma de tablas. Resultados: se registra que, de los 40 (100%) pacientes, el 57,5% eran del sexo masculino, el 67,5% tenían un diagnóstico inicial perteneciente al sistema gastrointestinal. Se identifican las variables que presentaron la asociación con el óbito en esta UTI: edad mayor a 60 años, que, aunque representaba apenas el 22,5% de la muestra, respondió por aproximadamente el 90% de las muertes (p-valor 0,005) y pacientes que fueron clasificados con shock séptico, ya que el 56,7% del 75% fue la muerte (p-valor 0,04). Conclusión: se entiende que los factores de riesgo asociados al óbito en los pacientes con sepsis de foco abdominal en la UTI están relacionados con edad mayor a 60 años y con shock séptico. Descriptors: Sepsis; Factores de riesgo; Mortalidad; Intensive Care Unit; Enfermería; Perfil Epidemiológico.

scholarly journals Factors associated to potential drug interactions in one Intensive Care Unit: a cross-sectional study

2019 ◽  
Vol 23 (3) ◽  
Author(s):  
Ana Laura Biral Cortes ◽  
Zenith Rosa Silvino
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Drug Interactions ◽  
Adverse Drug Events ◽  
Length Of Hospital Stay ◽  
Regular Insulin ◽  
Cross Sectional Study ◽  
Potential Drug ◽  
Cross Sectional ◽  
Factors Associated

ABSTRACT Objective: to identify the factors associated to Potential Drug Interactions with High Alert Medications in the Intensive Care Unit of a Sentinel Hospital. Methods: a cross-sectional, retrospective study using a quantitative approach carried out at a Sentinel Hospital in Rio de Janeiro. The research was based on the analysis of the prescriptions of patients hospitalized in the Intensive Care Unit of the Hospital, in a period of one year, in order to identify the drug interactions related to high alert medications in these prescriptions. Results: Of the 60 prescriptions analyzed, 244 were selected. In these prescriptions, 846 potential drug interactions related to high alert medications and 33 high alert medications were identified. Of the 112 types of potential drug interactions identified, some were more recurrent: tramadol e ondansetron, midazolam and omeprazole, regular insulin and hydrocortisone, fentanyl and midazolam, and regular insulin and noradrenaline. The variables polypharmacy, length of hospital stay, and some specific medications were associated with drug interactions with high alert medications. Conclusion and Implications for practice: It is important to strengthen strategies to reduce adverse drug events. Therefore, the relevance of studies that investigate the origin of these events is highlighted. Drug interactions can represent medication errors. It’s indispensable to work with strategies to better manage the medication system.

scholarly journals Presenteeism in multiprofessional team workers in the Adult Intensive Care Unit

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 96-104
Author(s):  
Andressa Fernanda Silva ◽  
Maria Lúcia do Carmo Cruz Robazzi ◽  
Rita de Cássia de Marchi Barcellos Dalri ◽  
Cristiane Aparecida Silveira-Monteiro ◽  
Aida Maria Oliveira Cruz Mendes
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Statistical Significance ◽  
Cross Sectional ◽  
Multiprofessional Team ◽  
Adult Intensive Care Unit ◽  
Work Impairment ◽  
Characteristics Method ◽  
Sociodemographic Data ◽  
Absence From Work

ABSTRACT Objective: To analyze the occurrence of presenteeism in multiprofessional team workers of an Adult Intensive Care Unit, relating it to sociodemographic and labor characteristics. Method: It is an analytical cross-sectional qualitative study, which used a questionnaire for sociodemographic data collection, and Stanford Presenteeism Scale(SPS-6) to assess presenteeism. Results: There was predominance of women (75.9%), nursing workers (66.7%), mean age of 39.81 years, and 6 to 10 years (31.6%) of experience in the labor market. Regarding presenteeism, 48.7% presented work impairment and 31.8% presentedperformance and completion of tasks altered by this phenomenon. Conclusion: Expressive numbers of general presenteeism were identified, with results indicating impairment in completing work. When connecting presenteeism to sociodemographic and labor characteristics, the variables sex, dependent children and absence from work presented values with statistical significance among the studied workers.

scholarly journals Prevalence of delirium in elderly intensive care unit patients of a tertiary care medical college hospital

2019 ◽  
Vol 6 (5) ◽  
pp. 1504
Author(s):  
Hemanth Kumar S. R. ◽  
Apoorva E. Patel
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Older Patients ◽  
Tertiary Care ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Icu Patients ◽  
Poor Prognostic Factor ◽  
Mechanically Ventilated

Background: Delirium is an acute disorder of attention and cognition. It occurs in 20% to 79% of hospitalized older patients. It is also common in ICU patients, occurring in 20% to 50% of non-mechanically ventilated ICU patients and in 60% to 80% of mechanically ventilated ICU patients. Hence delirium is a common, serious, and often fatal condition among older patients. The present study attempts to address the prevalence of Delirium in the Indian elderly population.Methods: A cross sectional study was conducted between January 2019 to June 2019 in a 50 bedded intensive care unit of a tertiary care hospital in Bengaluru, Karnataka. A total of 300 elderly patients aged 60 years and above, satisfying the inclusion criteria was included in the study. Patients were assessed for the presence of delirium within 24 hours of admission using Confusion Assessment Method for Intensive Care Unit (CAM-ICU). Various qualitative variables were expressed in terms of proportions.Results: Prevalence of delirium among elderly, non-ventilated ICU patients was 30% (90 out of 300 patients). Among them, 50 (55.5%) were females and remaining 40 (44.5%) were males. Mean age of the patients was 76 years. About 50 (55.5%) of them belonged to age group of 70-79 years. Most of the delirium patients (44.5%) belonged to hypoactive type of delirium followed by hyperactive (33.3%) and mixed (22.2%) type of delirium.Conclusions: Delirium in elderly ICU patients is significantly prevalent, which is a poor prognostic factor, leading to higher morbidity and mortality. Of the three subtypes- hypoactive delirium is the most common type of delirium among elderly. Yet, it is often overlooked or under-diagnosed. Hence clinicians and/or trained nursing staff managing the patients in the ICUs, should routinely screen the patients for delirium, using brief screening measures, which in turn can improve the patients’ outcome.

Sign in / Sign up

Export Citation Format

Share Document