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Retrospective Analysis of Long-Term Survival in Very Elderly (Age ≥80) Critically Ill Patients of a Medical Intensive Care Unit at a Tertiary Care Hospital in Korea
BACKGROUND: The purpose of this study was to evaluate the long-term survival rates of very elderly (age ≥80) critically ill patients admitted to a medical intensive care unit (MICU) at a regional tertiary-care hospital in Korea. METHODS: We retrospectively analyzed data from patients who survived af...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Academy of Tuberculosis and Respiratory Diseases
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7362745/ https://www.ncbi.nlm.nih.gov/pubmed/32578409 http://dx.doi.org/10.4046/trd.2019.0032 |
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author | Lee, Seung Hun Kim, Ju-Young Kim, Tae Hoon Ju, Sun Mi Yoo, Jung-Wan Lee, Seung Jun Cho, Yu Ji Jeong, Yi Yeong Lee, Jong Deog Kim, Ho Cheol |
author_facet | Lee, Seung Hun Kim, Ju-Young Kim, Tae Hoon Ju, Sun Mi Yoo, Jung-Wan Lee, Seung Jun Cho, Yu Ji Jeong, Yi Yeong Lee, Jong Deog Kim, Ho Cheol |
author_sort | Lee, Seung Hun |
collection | PubMed |
description | BACKGROUND: The purpose of this study was to evaluate the long-term survival rates of very elderly (age ≥80) critically ill patients admitted to a medical intensive care unit (MICU) at a regional tertiary-care hospital in Korea. METHODS: We retrospectively analyzed data from patients who survived after discharged from the MICU of our hospital. Survival rates at 90 days, 1 year, 2 years, and 3 years were assessed between patients age ≥80 and those age <80. Survival status was evaluated using the National Health Insurance Service data. RESULTS: A total of 468 patients were admitted, 286 (179 males, 97 females; mean age, 70.18±13.2) of whom survived and were discharged soon after their treatment. Among these patients, 69 (24.1%) were age ≥80 and 217 (75.9%) were age <80. The 90-day, 1-year, 2-year, and 3-year survival rates of patients age ≥80 were significantly lower than those in patients age <80 (50.7%, 31.9%, 15.9% and 14.5% vs. 68.3%, 54.4%, 45.6%, and 40.1%, respectively) (p<0.01). The Kaplan-Meier survival curves showed significantly lower survival rates in patients age ≥80 than in those age <80 (p=0.001). CONCLUSION: The poor rates of long-term survival in very elderly (age ≥80) and critically ill patients admitted to an ICU should be considered while managing and treating them. |
format | Online Article Text |
id | pubmed-7362745 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Korean Academy of Tuberculosis and Respiratory Diseases |
record_format | MEDLINE/PubMed |
spelling | pubmed-73627452020-07-23 Retrospective Analysis of Long-Term Survival in Very Elderly (Age ≥80) Critically Ill Patients of a Medical Intensive Care Unit at a Tertiary Care Hospital in Korea Lee, Seung Hun Kim, Ju-Young Kim, Tae Hoon Ju, Sun Mi Yoo, Jung-Wan Lee, Seung Jun Cho, Yu Ji Jeong, Yi Yeong Lee, Jong Deog Kim, Ho Cheol Tuberc Respir Dis (Seoul) Original Article BACKGROUND: The purpose of this study was to evaluate the long-term survival rates of very elderly (age ≥80) critically ill patients admitted to a medical intensive care unit (MICU) at a regional tertiary-care hospital in Korea. METHODS: We retrospectively analyzed data from patients who survived after discharged from the MICU of our hospital. Survival rates at 90 days, 1 year, 2 years, and 3 years were assessed between patients age ≥80 and those age <80. Survival status was evaluated using the National Health Insurance Service data. RESULTS: A total of 468 patients were admitted, 286 (179 males, 97 females; mean age, 70.18±13.2) of whom survived and were discharged soon after their treatment. Among these patients, 69 (24.1%) were age ≥80 and 217 (75.9%) were age <80. The 90-day, 1-year, 2-year, and 3-year survival rates of patients age ≥80 were significantly lower than those in patients age <80 (50.7%, 31.9%, 15.9% and 14.5% vs. 68.3%, 54.4%, 45.6%, and 40.1%, respectively) (p<0.01). The Kaplan-Meier survival curves showed significantly lower survival rates in patients age ≥80 than in those age <80 (p=0.001). CONCLUSION: The poor rates of long-term survival in very elderly (age ≥80) and critically ill patients admitted to an ICU should be considered while managing and treating them. The Korean Academy of Tuberculosis and Respiratory Diseases 2020-07 2020-03-10 /pmc/articles/PMC7362745/ /pubmed/32578409 http://dx.doi.org/10.4046/trd.2019.0032 Text en Copyright © 2020 The Korean Academy of Tuberculosis and Respiratory Diseases This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lee, Seung Hun Kim, Ju-Young Kim, Tae Hoon Ju, Sun Mi Yoo, Jung-Wan Lee, Seung Jun Cho, Yu Ji Jeong, Yi Yeong Lee, Jong Deog Kim, Ho Cheol Retrospective Analysis of Long-Term Survival in Very Elderly (Age ≥80) Critically Ill Patients of a Medical Intensive Care Unit at a Tertiary Care Hospital in Korea |
title | Retrospective Analysis of Long-Term Survival in Very Elderly (Age ≥80) Critically Ill Patients of a Medical Intensive Care Unit at a Tertiary Care Hospital in Korea |
title_full | Retrospective Analysis of Long-Term Survival in Very Elderly (Age ≥80) Critically Ill Patients of a Medical Intensive Care Unit at a Tertiary Care Hospital in Korea |
title_fullStr | Retrospective Analysis of Long-Term Survival in Very Elderly (Age ≥80) Critically Ill Patients of a Medical Intensive Care Unit at a Tertiary Care Hospital in Korea |
title_full_unstemmed | Retrospective Analysis of Long-Term Survival in Very Elderly (Age ≥80) Critically Ill Patients of a Medical Intensive Care Unit at a Tertiary Care Hospital in Korea |
title_short | Retrospective Analysis of Long-Term Survival in Very Elderly (Age ≥80) Critically Ill Patients of a Medical Intensive Care Unit at a Tertiary Care Hospital in Korea |
title_sort | retrospective analysis of long-term survival in very elderly (age ≥80) critically ill patients of a medical intensive care unit at a tertiary care hospital in korea |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7362745/ https://www.ncbi.nlm.nih.gov/pubmed/32578409 http://dx.doi.org/10.4046/trd.2019.0032 |
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