Treatment intensity, age and outcome in medical ICU patients: results of a French administrative database

Annals of Intensive Care
Vincent PeigneOlivier Saint-Jean

Abstract

Intensive care unit (ICU) patients are aging, and older age has been associated with higher mortality in ICU. As previous studies have reported that older age was also associated with less intensive treatment, we investigated the relationship between age, treatment intensity and mortality in medical ICU patients. Data were extracted from the administrative database of 18 medical ICUs. Patients with a unique medical ICU stay and a Simplified Acute Physiology Score II (without age-related points) >15 were included. Treatment intensity was described with a novel indicator, which is a four-group classification based upon the most frequent ICU procedures. The relationship between age, treatment intensity and hospital mortality was analyzed with the estimation of standardized mortality ratio in the four groups of treatment intensity. A total of 23,578 patients, including 3203 patients aged ≥80 years, were analyzed. Hospital mortality increased from 13 % for the younger patients (age < 40 years) to 38 % for the older patients (age ≥ 80 years), while Simplified Acute Physiology Score II (without age-related points) increased only from 36 (age < 40 years) to 43 (age ≥ 80). Hospital mortality increased with age in the four groups of trea...Continue Reading

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Citations

Oct 21, 2016·Aging Clinical and Experimental Research·Nicola VargasMaria Vargas
Dec 17, 2016·Internal Medicine Journal·K SundararajanUNKNOWN George Institute of Global Health and the Australian and New Zealand Intensive Care Society Clinical Trials Group Point Prev
May 1, 2019·Journal of Cardiovascular Development and Disease·Jennifer L RodgersSiva K Panguluri
Jun 1, 2017·Critical Care : the Official Journal of the Critical Care Forum·Dipayan ChaudhuriKwadwo Kyeremanteng
Aug 20, 2018·Irish Journal of Medical Science·Kai-Fung Kevin Suen
Aug 17, 2018·Annals of Intensive Care·Lucile LaporteAntoine Guillon
May 20, 2020·Critical Care Explorations·Christopher A LinkeMichael G Petty
Apr 18, 2021·Emergency Medicine Clinics of North America·Kami M Hu, Robert M Brown
May 1, 2021·Geriatrics·David G SmithardAngelo Pieris

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