Predictors of intrahospital mortality of patients older than 80 years hospitalized in a modern intensive cardiac care unit

    Authors

    Keywords

    elderly, intensive treatment, intrahospital mortality

    DOI

    https://doi.org/10.15836/ccar2018.455

    Full Text

    Introduction: Despite intensive treatment mortality in elderly patients presenting with acute cardiac diseases remains high. ( 1 ) The aim of this study was to investigate factors associated with intrahospital mortality of patients older than 80 years who were hospitalized in intensive cardiac care unit. Patients and Methods : We analyzed data from patients older than 80 years who were hospitalized in the Intensive Cardiac Care Unit of University Hospital Centre Zagreb in the period from 1 st January 2015 to 31 st December 2017. Results : We identified 243 patients older that 80 years (13.39% of total number of hospitalized patients in that period), 146 being women (60.1%). Most common leading diagnosis was acute myocardial infarction (n=107; 44%). All patients’ characteristics are displayed in Table 1 . Intrahospital mortality was 21.4%. Results indicate that primary diagnosis, the severity of it’s presentation and the use of more invasive treatment are the main predictors of elderly patients’ mortality in intensive cardiac care unit ( Table 2 ). Conclusion: The share of patients older than 80 years in the total number of hospitalized patients in intensive care units is not negligible. Using intensive treatment in patients of advanced age requires individual assessment of its usefulness and treatment goals. It is necessary to develop adequate, preferably locally applicable models for assessing the condition of this sensitive and significant group of patients to rationalize resources and optimize treatment of severe acute cardiac diseases in individuals of advanced age.

    Cardiologia Croatica
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    Predictors of intrahospital mortality of patients older than 80 years hospitalized in a modern intensive cardiac care unit

    Extended Abstract
    Issue11-12
    Published
    Pages455
    PDF via DOIhttps://doi.org/10.15836/ccar2018.455
    elderly
    intensive treatment
    intrahospital mortality

    Authors

    Jure Samardžić*ORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Petra MjehovićORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Stefan KrižanacORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Marijan PašalićORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Jana Ljubas MačekORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Hrvoje JurinORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Ivo PlanincORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Dora FabijanovićORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Nina JakušORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Daniel LovrićORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Maja ČikešORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Boško SkorićORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia
    Davor MiličićORCIDUniversity Hospital Centre Zagreb, Zagreb, Croatia

    Full Text

    Introduction: Despite intensive treatment mortality in elderly patients presenting with acute cardiac diseases remains high. ( 1 ) The aim of this study was to investigate factors associated with intrahospital mortality of patients older than 80 years who were hospitalized in intensive cardiac care unit. Patients and Methods : We analyzed data from patients older than 80 years who were hospitalized in the Intensive Cardiac Care Unit of University Hospital Centre Zagreb in the period from 1 st January 2015 to 31 st December 2017. Results : We identified 243 patients older that 80 years (13.39% of total number of hospitalized patients in that period), 146 being women (60.1%). Most common leading diagnosis was acute myocardial infarction (n=107; 44%). All patients’ characteristics are displayed in Table 1 . Intrahospital mortality was 21.4%. Results indicate that primary diagnosis, the severity of it’s presentation and the use of more invasive treatment are the main predictors of elderly patients’ mortality in intensive cardiac care unit ( Table 2 ). Conclusion: The share of patients older than 80 years in the total number of hospitalized patients in intensive care units is not negligible. Using intensive treatment in patients of advanced age requires individual assessment of its usefulness and treatment goals. It is necessary to develop adequate, preferably locally applicable models for assessing the condition of this sensitive and significant group of patients to rationalize resources and optimize treatment of severe acute cardiac diseases in individuals of advanced age.