Comparison of the Course and Prognosis of Geriatric Patients Admitted to the Intensive Care Unit According to BMI and Albumin Values

BACKGROUND: Elderly patients constitute the majority of patients undergoing treatment in the intensive care unit (ICU). Patients over the age of 65 account for 42%–52% of admission to ICU. Previous studies have shown that malnutrition is an important factor influencing the prognosis in intensive car...

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Autores principales: Onal, Ozkan, Ozgun, Gulten
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4834663/
https://www.ncbi.nlm.nih.gov/pubmed/27110532
http://dx.doi.org/10.5812/aapm.32509
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author Onal, Ozkan
Ozgun, Gulten
author_facet Onal, Ozkan
Ozgun, Gulten
author_sort Onal, Ozkan
collection PubMed
description BACKGROUND: Elderly patients constitute the majority of patients undergoing treatment in the intensive care unit (ICU). Patients over the age of 65 account for 42%–52% of admission to ICU. Previous studies have shown that malnutrition is an important factor influencing the prognosis in intensive care. OBJECTIVES: In this study, the effect of body mass index (BMI) and albumin values at first admission to the ICU on the course and prognosis of geriatric patients were investigated. PATIENTS AND METHODS: Patients over the age of 65 who were admitted to the anesthesia ICU were included in the study. Demographic and clinical data were recorded retrospectively. Major outcome variables were length of ICU and hospital stay, mortality rate, BMI, and albumin values. APACHE II and SOFA scores at admission were evaluated. RESULTS: Overall, 113 patients were included in the study. Mean BMI (kg/m(2)) value was found to be lower in the died group than in the discharged and transferred groups (P < 0.001). Albumin levels were lower in the died group than in the discharged and transferred groups (P < 0.001). An inverse relation was found between Apache and BMI and albumin values, whereas a significant direct relation was found between Apache and mechanical ventilation day (P < 0.05). A significant negative correlation was found between SOFA and BMI and albumin, values, respectively, and a positive correlation was found between SOFA and mechanical ventilation duration (P < 0.005). CONCLUSIONS: In this study, a low albumin level (≤ 3 mg/dL) was an indicator of nutritional status. Patients’ albumin levels, BMI, nutritional status, APACHE II score, and SOFA score were associated with mortality. Age in itself did not predict mortality in the elderly.
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spelling pubmed-48346632016-04-22 Comparison of the Course and Prognosis of Geriatric Patients Admitted to the Intensive Care Unit According to BMI and Albumin Values Onal, Ozkan Ozgun, Gulten Anesth Pain Med Research Article BACKGROUND: Elderly patients constitute the majority of patients undergoing treatment in the intensive care unit (ICU). Patients over the age of 65 account for 42%–52% of admission to ICU. Previous studies have shown that malnutrition is an important factor influencing the prognosis in intensive care. OBJECTIVES: In this study, the effect of body mass index (BMI) and albumin values at first admission to the ICU on the course and prognosis of geriatric patients were investigated. PATIENTS AND METHODS: Patients over the age of 65 who were admitted to the anesthesia ICU were included in the study. Demographic and clinical data were recorded retrospectively. Major outcome variables were length of ICU and hospital stay, mortality rate, BMI, and albumin values. APACHE II and SOFA scores at admission were evaluated. RESULTS: Overall, 113 patients were included in the study. Mean BMI (kg/m(2)) value was found to be lower in the died group than in the discharged and transferred groups (P < 0.001). Albumin levels were lower in the died group than in the discharged and transferred groups (P < 0.001). An inverse relation was found between Apache and BMI and albumin values, whereas a significant direct relation was found between Apache and mechanical ventilation day (P < 0.05). A significant negative correlation was found between SOFA and BMI and albumin, values, respectively, and a positive correlation was found between SOFA and mechanical ventilation duration (P < 0.005). CONCLUSIONS: In this study, a low albumin level (≤ 3 mg/dL) was an indicator of nutritional status. Patients’ albumin levels, BMI, nutritional status, APACHE II score, and SOFA score were associated with mortality. Age in itself did not predict mortality in the elderly. Kowsar 2016-01-17 /pmc/articles/PMC4834663/ /pubmed/27110532 http://dx.doi.org/10.5812/aapm.32509 Text en Copyright © 2016, Iranian Society of Regional Anesthesia and Pain Medicine (ISRAPM). http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
spellingShingle Research Article
Onal, Ozkan
Ozgun, Gulten
Comparison of the Course and Prognosis of Geriatric Patients Admitted to the Intensive Care Unit According to BMI and Albumin Values
title Comparison of the Course and Prognosis of Geriatric Patients Admitted to the Intensive Care Unit According to BMI and Albumin Values
title_full Comparison of the Course and Prognosis of Geriatric Patients Admitted to the Intensive Care Unit According to BMI and Albumin Values
title_fullStr Comparison of the Course and Prognosis of Geriatric Patients Admitted to the Intensive Care Unit According to BMI and Albumin Values
title_full_unstemmed Comparison of the Course and Prognosis of Geriatric Patients Admitted to the Intensive Care Unit According to BMI and Albumin Values
title_short Comparison of the Course and Prognosis of Geriatric Patients Admitted to the Intensive Care Unit According to BMI and Albumin Values
title_sort comparison of the course and prognosis of geriatric patients admitted to the intensive care unit according to bmi and albumin values
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4834663/
https://www.ncbi.nlm.nih.gov/pubmed/27110532
http://dx.doi.org/10.5812/aapm.32509
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