Demographic Changes in Intensive Care Units in Korea over the Last Decade and Outcomes of Elderly Patients: A Single-Center Retrospective Study / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 164-173, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-770994
ABSTRACT
BACKGROUND:
Aging is a significant issue worldwide, and Korea is one of the most rapidly aging countries. Along with the demographic transition, the age structure of intensive care unit (ICU) patients changes as well.METHODS:
The aim of this study was to analyze the change in age distribution of the ICU patients over the last 10 years and its effect on clinical outcomes. Single-center, retrospective analysis of all patients aged ≥18 years admitted to either the medical or surgical ICU at St. Paul's Hospital, The Catholic University of Korea, between January 2005 and December 2014 was conducted. For clinical outcome, in-hospital mortality, duration of ICU stay, and hospital stay were analyzed. Cost analysis was performed to show the economic burden of each age strata.RESULTS:
A total of 10,366 ICU patients were admitted to the chosen ICUs during the study period. The proportion of elderly patients aged ≥65 years increased from 47.9% in 2005 to 63.7% in 2014, and the proportion of the very elderly patients aged ≥80 years increased from 12.8% to 20.7%. However, this increased proportion of elderly patients did not lead to increased in-hospital mortality. The percent of ICU treatment days attributable to elderly patients increased from 51.1% in year 2005 to 64.0% in 2014. The elderly ICU patients were associated with higher in-hospital mortality compared to younger age groups.CONCLUSIONS:
The proportion of elderly patients admitted to ICUs increased over the last decade. However, overall in-hospital mortality has not increased during the same period.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Envelhecimento
/
Dinâmica Populacional
/
Estudos Retrospectivos
/
Mortalidade
/
Mortalidade Hospitalar
/
Distribuição por Idade
/
Custos e Análise de Custo
/
Cuidados Críticos
/
Unidades de Terapia Intensiva
/
Coreia (Geográfico)
Tipo de estudo:
Avaliação Econômica em Saúde
/
Estudo observacional
/
Estudo prognóstico
Limite:
Idoso
/
Humanos
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
The Korean Journal of Critical Care Medicine
Ano de publicação:
2017
Tipo de documento:
Artigo
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