Nonadherence to Geriatric-Focused Practices in Older Intensive Care Unit Survivors

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
Liron SinvaniNegin Hajizadeh

Abstract

Older adults account for more than half of all admissions to intensive care units; most remain alive at 1 year, but with long-term sequelae. To explore geriatric-focused practices and associated outcomes in older intensive care survivors. In a 1-year, retrospective, cohort study of patients admitted to the medical intensive care unit and subsequently transferred to the medicine service, adherence to geriatric-focused practices and associated clinical outcomes during intensive care were determined. A total of 179 patients (mean age, 80.5 years) met inclusion criteria. Nonadherence to geriatric-focused practices, including nothing by mouth (P = .004), exposure to benzodiazepines (P = .007), and use of restraints (P < .001), were associated with longer stay in the intensive care unit. Nothing by mouth (P = .002) and restraint use (P = .003) were significantly associated with longer hospital stays. Bladder catheters were associated with hospital-acquired pressure injuries (odds ratio, 8.9; 95% CI, 1.2-67.9) and discharge to rehabilitation (odds ratio, 8.9; 95% CI, 1.2-67.9). Nothing by mouth (odds ratio, 3.2; 95% CI, 1.2-8.0) and restraints (odds ratio, 2.8; 95% CI, 1.4-5.8) were also associated with an increase in 30-day readmissi...Continue Reading

Citations

Mar 19, 2019·Critical Care Medicine·Liron Sinvani, Negin Hajizadeh
Aug 18, 2021·Journal of the American Geriatrics Society·Liron SinvaniLily Thomas

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