A COMPARATIVE STUDY OF CRITICALLY ILL ELDERLY PATIENTS WITH ADULT SUBGROUPS WITH INFECTION IN A RURAL ICU
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 39
Abstract
BACKGROUND The challenge ahead for health care in coming years is to ensure better quality of life to a large group of geriatric population. Life expectancy of all elderly patients remains limited even after successful ICU treatment. About one-third of the patients seen in PESIMSR, Kuppam region, belong to the geriatric age group. Therefore, a scientific study of critically ill patients in ICU, rural setting is warranted and hence the study is undertaken. The aim of this study is to identify potential differences between elderly patients and among adult subgroups with infection and differences with regard to pattern of infection and outcome. MATERIALS AND METHODS Demographic, physiological, bacteriological and therapeutic data was collected on the day of admission and regularly at prefixed intervals depending on the case until hospital discharge. Standard therapy for corresponding infection was administered and the progression and outcome were documented. Patients were divided into 4 age groups and compared among each group and comparisons were carried out among each group. RESULTS A total of 153 adults were enrolled in this study. Of these 25 (16.33%) were aged 75 and older, 29 (18.95%) were 65 to 74, 61(39.86%) were 45 to 64 and 38 (24.83%) were younger than 45. Those aged 65 and above (9.2%) had fewer blood stream infections than those younger than 65 (21%). No central nervous system infections in 65 years and above, than in younger patients (7%). A microbiological diagnosis was established less frequently in patients aged 65 (40.74%) and older, than in younger patients less than 65 (57.57%). Gram negative microorganisms were more frequent in all groups. Gram positive microorganisms were isolated more frequently from age group > 65 (27.27%) than in age group < 65 (21%). CONCLUSION Critically ill elderly patients with infection represent a significant percentage of the ICU population and emphasises that elderly patients with infection in the ICU have greater ICU and hospital mortality than younger individuals with age per se an independent risk factor for mortality. Gram negative microorganisms were associated with high mortality, especially in elderly age groups
Authors and Affiliations
Rohit B. G, Pulipati Akshaya Chowdary, Y. J. Visveswara Reddy
Keywords
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- EP ID EP548129
- DOI 10.14260/jemds/2018/949
- Views 70
- Downloads 0
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