Epidemiology of Elderly Patients Hospitalized in Intensive Care Unit for Severs Medical Illnesses

Rhita Bennis Nechba; Moncif El M’barki Kadiri; Amine Ali Zeggwagh; Abdelhalim Mesfioui

doi:doi:10.11648/j.sjph.20130105.15

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Epidemiology of Elderly Patients Hospitalized in Intensive Care Unit for Severs Medical Illnesses

Rhita Bennis Nechba, Moncif El M’barki Kadiri, Amine Ali Zeggwagh, Abdelhalim Mesfioui

Published in Science Journal of Public Health (Volume 1, Issue 5)

Received: 9 October 2013 Published: 30 October 2013

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Abstract

Objectives: This study was made to identify the epidemiological data of elderly patients (over 65 years of age) vs. younger patients (< 65 years) requiring admission to the intensive care unit for severs medical illnesses. Design and patients: We conducted an analysis of a prospective observational study of 106 adults admitted to the intensive care unit for severs medical illnesses, from January 2010 to January 2012. Patients admitted to the intensive care unit for surgical illnesses were excluded. Setting: A 6-bed polyvalent intensive care unit in a regional hospital. Results: The study group included 31(29%) elderly patients (≥65 years of age) and 75 (71%) young patients (<65 years of age) (n=106). Elderly patients tended to have a higher simplified acute physiology score version II in admission (36 vs 21, p<0,001). There were several epidemiological differences between the two groups: Chronic diseases were more frequent in elderly patients than in younger one (diabetes (55% vs 20%; p<0,001), high blood pressure (45% vs 13%; p<0,001) and heart diseases (48% vs 19%; p=0,002). Elderly patients were significantly more hospitalized for delirium comparing to younger one (87% vs 64%; p=0,017), but dyspnea was less percepted by elderly patients 29% vs 55% for younger patients, p=0,016. Acute respiratory distress syndrome, acute heart failure, acute kidney injury, were all more frequent in elderly patients respectively (p= 0,006, p=0,014, p=0,005). The incidence of death was 37% for all patients and it was similar between the two groups (p=0,251). Conclusion: The identification of epidemiology of older patients hospitalized in intensive care unit for severs medical illnesses will help to develop qualified practice. Further studies are needed to better characterize those elderly individuals who may be at the highest risk of complications.

Published in	Science Journal of Public Health (Volume 1, Issue 5)
DOI	10.11648/j.sjph.20130105.15
Page(s)	215-221
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Intensive Care Unit, Elderly, Epidemiology

References

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Rhita Bennis Nechba, Moncif El M’barki Kadiri, Amine Ali Zeggwagh, Abdelhalim Mesfioui. (2013). Epidemiology of Elderly Patients Hospitalized in Intensive Care Unit for Severs Medical Illnesses. Science Journal of Public Health, 1(5), 215-221. https://doi.org/10.11648/j.sjph.20130105.15

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ACS Style

Rhita Bennis Nechba; Moncif El M’barki Kadiri; Amine Ali Zeggwagh; Abdelhalim Mesfioui. Epidemiology of Elderly Patients Hospitalized in Intensive Care Unit for Severs Medical Illnesses. Sci. J. Public Health 2013, 1(5), 215-221. doi: 10.11648/j.sjph.20130105.15

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AMA Style

Rhita Bennis Nechba, Moncif El M’barki Kadiri, Amine Ali Zeggwagh, Abdelhalim Mesfioui. Epidemiology of Elderly Patients Hospitalized in Intensive Care Unit for Severs Medical Illnesses. Sci J Public Health. 2013;1(5):215-221. doi: 10.11648/j.sjph.20130105.15

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@article{10.11648/j.sjph.20130105.15,
  author = {Rhita Bennis Nechba and Moncif El M’barki Kadiri and Amine Ali Zeggwagh and Abdelhalim Mesfioui},
  title = {Epidemiology of Elderly Patients Hospitalized in Intensive Care Unit for Severs Medical Illnesses},
  journal = {Science Journal of Public Health},
  volume = {1},
  number = {5},
  pages = {215-221},
  doi = {10.11648/j.sjph.20130105.15},
  url = {https://doi.org/10.11648/j.sjph.20130105.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20130105.15},
  abstract = {Objectives: This study was made to identify the epidemiological data of elderly patients (over 65 years of age) vs. younger patients (< 65 years) requiring admission to the intensive care unit for severs medical illnesses. Design and patients: We conducted an analysis of a prospective observational study of 106 adults admitted to the intensive care unit for severs medical illnesses, from January 2010 to January 2012. Patients admitted to the intensive care unit for surgical illnesses were excluded. Setting: A 6-bed polyvalent intensive care unit in a regional hospital. Results: The study group included 31(29%) elderly patients (≥65 years of age) and 75 (71%) young patients (<65 years of age) (n=106). Elderly patients tended to have a higher simplified acute physiology score version II in admission (36 vs 21, p<0,001). There were several epidemiological differences between the two groups: Chronic diseases were more frequent in elderly patients than in younger one (diabetes (55% vs 20%; p<0,001), high blood pressure (45% vs 13%; p<0,001) and heart diseases (48% vs 19%; p=0,002). Elderly patients were significantly more hospitalized for delirium comparing to younger one (87% vs 64%; p=0,017), but dyspnea was less percepted by elderly patients 29% vs 55% for younger patients, p=0,016. Acute respiratory distress syndrome, acute heart failure, acute kidney injury, were all more frequent in elderly patients respectively (p= 0,006, p=0,014, p=0,005). The incidence of death was 37% for all patients and it was similar between the two groups (p=0,251). Conclusion: The identification of epidemiology of older patients hospitalized in intensive care unit for severs medical illnesses will help to develop qualified practice. Further studies are needed to better characterize those elderly individuals who may be at the highest risk of complications.},
 year = {2013}
}

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TY  - JOUR
T1  - Epidemiology of Elderly Patients Hospitalized in Intensive Care Unit for Severs Medical Illnesses
AU  - Rhita Bennis Nechba
AU  - Moncif El M’barki Kadiri
AU  - Amine Ali Zeggwagh
AU  - Abdelhalim Mesfioui
Y1  - 2013/10/30
PY  - 2013
N1  - https://doi.org/10.11648/j.sjph.20130105.15
DO  - 10.11648/j.sjph.20130105.15
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 215
EP  - 221
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20130105.15
AB  - Objectives: This study was made to identify the epidemiological data of elderly patients (over 65 years of age) vs. younger patients (< 65 years) requiring admission to the intensive care unit for severs medical illnesses. Design and patients: We conducted an analysis of a prospective observational study of 106 adults admitted to the intensive care unit for severs medical illnesses, from January 2010 to January 2012. Patients admitted to the intensive care unit for surgical illnesses were excluded. Setting: A 6-bed polyvalent intensive care unit in a regional hospital. Results: The study group included 31(29%) elderly patients (≥65 years of age) and 75 (71%) young patients (<65 years of age) (n=106). Elderly patients tended to have a higher simplified acute physiology score version II in admission (36 vs 21, p<0,001). There were several epidemiological differences between the two groups: Chronic diseases were more frequent in elderly patients than in younger one (diabetes (55% vs 20%; p<0,001), high blood pressure (45% vs 13%; p<0,001) and heart diseases (48% vs 19%; p=0,002). Elderly patients were significantly more hospitalized for delirium comparing to younger one (87% vs 64%; p=0,017), but dyspnea was less percepted by elderly patients 29% vs 55% for younger patients, p=0,016. Acute respiratory distress syndrome, acute heart failure, acute kidney injury, were all more frequent in elderly patients respectively (p= 0,006, p=0,014, p=0,005). The incidence of death was 37% for all patients and it was similar between the two groups (p=0,251). Conclusion: The identification of epidemiology of older patients hospitalized in intensive care unit for severs medical illnesses will help to develop qualified practice. Further studies are needed to better characterize those elderly individuals who may be at the highest risk of complications.
VL  - 1
IS  - 5
ER  -

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Author Information

Rhita Bennis Nechba

Department of Critical Care, El Idrissi Regional Hospital, Kenitra, Morocco
Moncif El M’barki Kadiri

Department of Nephrology, Dialysis and Transplantation, Military Hospital, Rabat, Morocco
Amine Ali Zeggwagh

Department of Medical Intensive Care, Ibn Sina University Hospital, Rabat, Morocco and Laboratory of Biostatistique, of Clinical Recherche and Epidemiology, Mohammed V University of Medicine and Pharmacy, Rabat, Morocco
Abdelhalim Mesfioui

Laboratory of Genetic, Neuroendocrinology and Biothechnology, Ibn Tofa?l University, Kenitra

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Rhita Bennis Nechba, Moncif El M’barki Kadiri, Amine Ali Zeggwagh, Abdelhalim Mesfioui. (2013). Epidemiology of Elderly Patients Hospitalized in Intensive Care Unit for Severs Medical Illnesses. Science Journal of Public Health, 1(5), 215-221. https://doi.org/10.11648/j.sjph.20130105.15

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ACS Style

Rhita Bennis Nechba; Moncif El M’barki Kadiri; Amine Ali Zeggwagh; Abdelhalim Mesfioui. Epidemiology of Elderly Patients Hospitalized in Intensive Care Unit for Severs Medical Illnesses. Sci. J. Public Health 2013, 1(5), 215-221. doi: 10.11648/j.sjph.20130105.15

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AMA Style

Rhita Bennis Nechba, Moncif El M’barki Kadiri, Amine Ali Zeggwagh, Abdelhalim Mesfioui. Epidemiology of Elderly Patients Hospitalized in Intensive Care Unit for Severs Medical Illnesses. Sci J Public Health. 2013;1(5):215-221. doi: 10.11648/j.sjph.20130105.15

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@article{10.11648/j.sjph.20130105.15,
  author = {Rhita Bennis Nechba and Moncif El M’barki Kadiri and Amine Ali Zeggwagh and Abdelhalim Mesfioui},
  title = {Epidemiology of Elderly Patients Hospitalized in Intensive Care Unit for Severs Medical Illnesses},
  journal = {Science Journal of Public Health},
  volume = {1},
  number = {5},
  pages = {215-221},
  doi = {10.11648/j.sjph.20130105.15},
  url = {https://doi.org/10.11648/j.sjph.20130105.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20130105.15},
  abstract = {Objectives: This study was made to identify the epidemiological data of elderly patients (over 65 years of age) vs. younger patients (< 65 years) requiring admission to the intensive care unit for severs medical illnesses. Design and patients: We conducted an analysis of a prospective observational study of 106 adults admitted to the intensive care unit for severs medical illnesses, from January 2010 to January 2012. Patients admitted to the intensive care unit for surgical illnesses were excluded. Setting: A 6-bed polyvalent intensive care unit in a regional hospital. Results: The study group included 31(29%) elderly patients (≥65 years of age) and 75 (71%) young patients (<65 years of age) (n=106). Elderly patients tended to have a higher simplified acute physiology score version II in admission (36 vs 21, p<0,001). There were several epidemiological differences between the two groups: Chronic diseases were more frequent in elderly patients than in younger one (diabetes (55% vs 20%; p<0,001), high blood pressure (45% vs 13%; p<0,001) and heart diseases (48% vs 19%; p=0,002). Elderly patients were significantly more hospitalized for delirium comparing to younger one (87% vs 64%; p=0,017), but dyspnea was less percepted by elderly patients 29% vs 55% for younger patients, p=0,016. Acute respiratory distress syndrome, acute heart failure, acute kidney injury, were all more frequent in elderly patients respectively (p= 0,006, p=0,014, p=0,005). The incidence of death was 37% for all patients and it was similar between the two groups (p=0,251). Conclusion: The identification of epidemiology of older patients hospitalized in intensive care unit for severs medical illnesses will help to develop qualified practice. Further studies are needed to better characterize those elderly individuals who may be at the highest risk of complications.},
 year = {2013}
}

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TY  - JOUR
T1  - Epidemiology of Elderly Patients Hospitalized in Intensive Care Unit for Severs Medical Illnesses
AU  - Rhita Bennis Nechba
AU  - Moncif El M’barki Kadiri
AU  - Amine Ali Zeggwagh
AU  - Abdelhalim Mesfioui
Y1  - 2013/10/30
PY  - 2013
N1  - https://doi.org/10.11648/j.sjph.20130105.15
DO  - 10.11648/j.sjph.20130105.15
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 215
EP  - 221
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20130105.15
AB  - Objectives: This study was made to identify the epidemiological data of elderly patients (over 65 years of age) vs. younger patients (< 65 years) requiring admission to the intensive care unit for severs medical illnesses. Design and patients: We conducted an analysis of a prospective observational study of 106 adults admitted to the intensive care unit for severs medical illnesses, from January 2010 to January 2012. Patients admitted to the intensive care unit for surgical illnesses were excluded. Setting: A 6-bed polyvalent intensive care unit in a regional hospital. Results: The study group included 31(29%) elderly patients (≥65 years of age) and 75 (71%) young patients (<65 years of age) (n=106). Elderly patients tended to have a higher simplified acute physiology score version II in admission (36 vs 21, p<0,001). There were several epidemiological differences between the two groups: Chronic diseases were more frequent in elderly patients than in younger one (diabetes (55% vs 20%; p<0,001), high blood pressure (45% vs 13%; p<0,001) and heart diseases (48% vs 19%; p=0,002). Elderly patients were significantly more hospitalized for delirium comparing to younger one (87% vs 64%; p=0,017), but dyspnea was less percepted by elderly patients 29% vs 55% for younger patients, p=0,016. Acute respiratory distress syndrome, acute heart failure, acute kidney injury, were all more frequent in elderly patients respectively (p= 0,006, p=0,014, p=0,005). The incidence of death was 37% for all patients and it was similar between the two groups (p=0,251). Conclusion: The identification of epidemiology of older patients hospitalized in intensive care unit for severs medical illnesses will help to develop qualified practice. Further studies are needed to better characterize those elderly individuals who may be at the highest risk of complications.
VL  - 1
IS  - 5
ER  -

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