RT Journal Article
SR Electronic
T1 Impact of mechanical ventilation in outcomes of critical care elderly patients: A cohort study
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA2152
DO 10.1183/13993003.congress-2015.PA2152
VO 46
IS suppl 59
A1 Saint Clair Gomes Bernardes Neto
A1 Arlley Kennedy Oliveira
A1 Fabio Ferreira Amorim
A1 Graziella França Bernardelli Cipriano
A1 Karla Helena Coelho Vilaca
YR 2015
UL http://erj.ersjournals.com/content/46/suppl_59/PA2152.abstract
AB Introduction: Mechanical ventilation (MV) is one of the highest priorities indications for admission to intensive care units (ICU). It can be a predictive factor for longer length of stay in ICU (LOS) and mortality.Aim: Evaluate the impact of MV on LOS and mortality in elderly.Methods: A retrospective cohort study was conducted on patients aged > 65 years old, admitted to 3 medical-surgical public ICUs in Brasília-DF (Brazil) through January/2012 to December/2012. Data were collected from the electronic medical records. The sample was divided in two groups: mechanically ventilated patients at admission (MVG) and spontaneously breathing at admission (SBG).Results: 368 elderlies were enrolled in the study with 295 patients in the MVG (80,2%) and 73 in the SBG (19,8%). The mean age was not significantly different between the groups (75,5±7,0 x 76,1±6,6; p = 0,48). MVG had higher APACHE II score (25,0±6,7 x 20,4±6,4; p = 0,01) and LOS (24,0±29,9 x 13,5±15,8; p = 0,01). There was no difference regarding mortality between groups (207; 70,2% x 47; 64,4%, p = 0,33). When the necessity of MV during the ICU stay in the SBG was analyzed, there was also no difference regarding mortality between groups (MV: N=25; 64,1% x no MV: N=22;64,7%; p = 0,95).Conclusions: The impact of MV, despite its necessity before the admission in ICU or during the ICU stay, was not a predictive factor for mortality. MV requirement was related with longer LOS.