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A retrospective observational study of mortality rates in elderly patients with shock in a New Zealand district hospital ICU.

Abstract Admitting very elderly, critically ill patients to ICU is controversial. We compared our mortality data in a subgroup of elderly patients to internationally published outcomes.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title the new zealand medical journal
Publication Year Start




PMID- 28384144
OWN - NLM
STAT- MEDLINE
DA  - 20170406
DCOM- 20170418
LR  - 20170418
IS  - 1175-8716 (Electronic)
IS  - 0028-8446 (Linking)
VI  - 130
IP  - 1453
DP  - 2017 Apr 07
TI  - A retrospective observational study of mortality rates in elderly patients with
      shock in a New Zealand district hospital ICU.
PG  - 29-34
AB  - AIM: Admitting very elderly, critically ill patients to ICU is controversial. We 
      compared our mortality data in a subgroup of elderly patients to internationally 
      published outcomes. METHODS: Tauranga Hospital ICU retrospectively investigated
      their mortality outcomes for patients with septic shock. The ANZICS adult
      database (AORTIC), Tauranga Hospital computer records and medical records were
      used to identify the study cohort and provide information on demographics,
      admission times and shock types between January 2009 and December 2014. Patients 
      were divided into groups; not old (<74 years), old (75-84 years) and very old
      (>85 years) to compare survival statistics at ICU discharge, hospital discharge, 
      28 days, six months and 12 months. RESULTS: Patients in the >85 year group at
      Tauranga ICU had a 38.5% survival. CONCLUSION: With careful selection, elderly
      patients with septic shock may have an acceptable outcome.
FAU - Keet, Owen
AU  - Keet O
AD  - Intensive Care, Tauranga Hospital, Tauranga.
FAU - Chisholm, Stephanie
AU  - Chisholm S
AD  - Medical School, Auckland University, Auckland.
FAU - Goodson, Jennifer
AU  - Goodson J
AD  - Intensive Care, Bay of Plenty District Health Board, Bay of Plenty.
FAU - Browne, Troy
AU  - Browne T
AD  - Intensive Care, Tauranga Hospital, Tauranga.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Observational Study
DEP - 20170407
PL  - New Zealand
TA  - N Z Med J
JT  - The New Zealand medical journal
JID - 0401067
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Databases, Factual
MH  - Female
MH  - Hospitals, District/*statistics & numerical data
MH  - Humans
MH  - Intensive Care Units/*statistics & numerical data
MH  - Male
MH  - New Zealand/epidemiology
MH  - Patient Discharge/statistics & numerical data
MH  - Retrospective Studies
MH  - Shock, Cardiogenic/mortality
MH  - Shock, Septic/*mortality
MH  - Survival Rate
COI - Nil.
EDAT- 2017/04/07 06:00
MHDA- 2017/04/19 06:00
CRDT- 2017/04/07 06:00
PST - epublish
SO  - N Z Med J. 2017 Apr 7;130(1453):29-34.

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