TY - JOUR T1 - The outcomes and prognostic factors in geriatric patients receiving invasive mechanical ventilation JF - European Respiratory Journal JO - Eur Respir J VL - 42 IS - Suppl 57 SP - P4922 AU - Jaemin Lim AU - Bock-Hyun Jung AU - Doh Hyung Kim AU - Hyunkuk Kim Y1 - 2013/09/01 UR - http://erj.ersjournals.com/content/42/Suppl_57/P4922.abstract N2 - Despite the increase of geriatric population, studies for geriatric critical care are still scarce. A retrospective study was performed to evaluate outcomes and prognostic factors of medically-ill geriatric patients receiving mechanical ventilation (MV).Methods: Medical records of patients ≥70 year-old receiving MV in intensive care unit (ICU) except cardiologic ICU from 2008 to 2010 were reviewed. Treatment outcomes were compared between group A (age: 70-79) and B (age ≥80). Prognostic factors were evaluated between survivor and non-survivor.Results: A total of 186 (n=115 in group A vs. n=71 in group B) patients were analyzed. The mean APACHE II and SOFA scores at ICU admission were not different between the groups (31.9 ± 7.0 vs. 31.3 ± 7.1 for APACHE II, P=0.822, and 10.9 ± 3.5 vs. 10.6 ± 3.2 for SOFA, P=0.599). The median days (range) of MV were 9 (3-184) in group A and 9 (2-80) in B (P=0.235). Hospital mortality were 57.4% in group A and 54.9% in B (P=0.742). The age was not significant predictor of mortality in univariate analysis [the odds ratio (OR) 0.99, 95% confidence interval (CI); 0.948-1.036, P=0.689]. In multivariate analysis based on parameters of APACHE II score, malignancy (the OR 7.119, 95% CI; 1.529-33.135, P=0.012) and APACHE II score were statistically significant (the OR 1.089, 95% CI; 1.041-1.139, P<0.001). Analyses based on SOFA score also showed that malignancy (the OR 8.230, 95% CI; 1.813-37.365, p<0.006) and SOFA score (the OR 1.181, 95% CI; 1.072-1.301p=0.001) were significant.Conclusions: The hospital mortality was not affected by age in geriatric patients. The presence of malignancy and severity of illness were significant prognostic factors. ER -