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Deaths among the elderly with ICU infections
Álvaro Francisco Lopes de Sousa1, Artur Acelino Francisco Luz Nunes Queiroz1, Layze Braz de Oliveira1
1Universidade de São Paulo, Nursing School of Ribeirão Preto, Postgaduate Program in Fundamental Nursing. Ribeirão Preto, São Paulo, Brazil.
Revista Brasileira De Enfermagem
|August 10, 2017
Summary
Nosocomial infections in elderly intensive care unit patients are linked to sociodemographic and clinical factors. These factors, including age and comorbidities, significantly impact clinical outcomes and increase mortality rates.
Area of Science:
- Gerontology
- Infectious Diseases
- Critical Care Medicine
Background:
- Elderly patients admitted to intensive care units (ICUs) are particularly vulnerable to nosocomial infections.
- Understanding the factors influencing clinical outcomes in this population is crucial for improving care.
Purpose of the Study:
- To evaluate the clinical outcomes of elderly ICU patients with nosocomial infections.
- To correlate these outcomes with sociodemographic and clinical variables.
Main Methods:
- A descriptive study was conducted using medical records of 308 elderly patients from 2012 to 2015.
- Univariate and bivariate statistical analyses were performed to identify associations.
Main Results:
- Significant associations were found between clinical outcomes and age, length of stay, comorbidities, main diagnosis, respiratory and urinary tract infections.
- Catheter use (central venous and indwelling urinary), mechanical ventilation, and tracheostomy were also associated with outcomes.
- Survival analysis indicated higher mortality in elderly patients aged 80 and above.
Conclusions:
- Sociodemographic and clinical variables significantly influence the clinical outcomes of elderly patients acquiring infections in the ICU.
- These factors contribute to increased mortality rates in this vulnerable patient group.
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