Factors related to hospitalization of elderly in Intensive Care Units

Authors

  • Ana Maria Ribeiro dos Santos
  • Guilherme Guarino de Moura Sá
  • Gustavo de Moura Leão Universidade federal do Piauí
  • Iara Cristina Carvalho Freitas Leão
  • Tatyanne Silva Rodrigues

DOI:

https://doi.org/10.3823/2246

Keywords:

Intensive Care Unit, hospitalization, elderly.

Abstract

Objective: to analyze the factors related to hospitalization of elderly in Intensive Care Unit.

Method: integrative literature review performed in BDENF, Medline and ScienceDirect databases. We selected 11 articles published from 2008 to 2015 that met the inclusion criteria. Data were processed in IRAMUTEC software.

Results: results are presented in 05 classes, as follows: Class 1- Use of systems to assess the level of severity for ICU patients; Class 2 - Length of stay of elderly in ICUs; Class 3 - Old age and underlying diseases in patients treated in ICUs; Class 4 - The main clinical outcomes of admission of elderly in ICU; Class 5 - The care provided to elderly in the ICU.

Conclusion: the Simplified Acute Physiology Score (SAPS II) model was the most used in elderly patients admitted to intensive care units, the prolonged length of stay is associated with worse prognosis, especially in patients with underlying diseases, and the postoperative period is the main cause of admission.

Keywords: Intensive Care Unit, hospitalization, elderly.

Author Biography

Gustavo de Moura Leão, Universidade federal do Piauí

Programa de Pós Graduação em Enfermagem

References

References

Guerra ACLC, Caldas CP. Dificuldades e recompensas no processo de envelhecimento: a percepção do sujeito idoso. Ciên Saúde Colet [Internet]. 2010 Sept [cited 2016 May 13]; 15(6): 2931-40. Available from:

http://dx.doi.org/10.1590/S1413-81232010000600031

Araújo LF, Coelho CG, Mendonça ÉT, Vaz AVM, Siqueira-Batista R, Cotta RMM. Evidências da contribuição dos programas de assistência ao idoso na promoção do envelhecimento saudável no Brasil. Rev Panam Salud Publica [Internet]. 2011 Jul [cited 2016 May 13]; 30(1). Available from: http://dx.doi.org/10.1590/S1020-49892011000700012

Akroute AR, Bondas T. Critical care nurses and relatives of elderly patients in intensive care unit – Ambivalent interaction. Intensive Crit Care Nurs [Internet]. 2015. Available from: http://www.intensivecriticalcarenursing.com/article/S0964-3397(15)00063-4/abstract

Santana-Cabrera L, Lorenzo-Torrent R, Sánchez-Palacios M, Santana JD, Hernández JRH. Influence of age in the duration of the stay and mortality of patients who remain in an Intensive Care Unit for a prolonged time. Rev Clín Esp [Internet]. 2014 cited 2016 May 13]; 214(2):74-8. Available from:

http://europepmc.org/abstract/MED/24139954

Galvão CM, Mendes KDS, Silveira RCCP. Revisão integrativa: método de revisão para sintetizar as evidências disponíveis na literatura. IN: Brevidelli MM, Sertório SCM.Trabalho de conclusão de curso: guia prático para docentes e alunos da área da saúde. São Paulo: Iátrica, 2010: 105-126.

Nascimento GC, Queiroz AAFLN, Sousa DM, Ferreira MCS, Moura MEB, Ibiapina ARS. Infecção na inserção do cateter venoso central. Rev Pre Infec Saúde [Internet]. 2015 [cited 2016 May 13]; 1(3): 46-54. Available from:

http://www.ojs.ufpi.br/index.php/nupcis/article/view/4241/pdf_1

Carvalho ML, Araújo TRN, Santos CFB, Sousa ÃFL, Moura MEB. Infecções hospitalares em unidade de terapia intensiva neonatal. R Interd [Internet]. 2014 Out/Nov/Dez [cited 2016 May 13]; 7(4): 189-98. Available from:

http://revistainterdisciplinar.uninovafapi.edu.br/index.php/revinter/article/view/539/pdf_176

Oliveira VCR, Nogueira LS, Andolhe R, Padilha KG, Sousa RMC. Evolução clínica de adultos, idosos e muito idosos internados em Unidade de Terapia Intensiva. Rev. Latino-Am. Enfermagem [Internet]. 2011 Dec [cited 2016 May 10] ; 19( 6 ): 1344-1351. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692011000600010&lng=en. http://dx.doi.org/10.1590/S0104-11692011000600010

Pedrosa IL, Farias MCAD, Silva FA, Cavalcante VRB, Gadelha CS, Schneider RH. Characteristics and Prognostic Factors of Elderly Patients in Intensive Care Unit. Int Arch Med [Internet]. 2015 [cited 2016 May 10]; 8(243): 1-8. Available from: http://imed.pub/ojs/index.php/iam/article/view/1345/1055

Lerolle N, Trinquart L, Bornstain C, Tadie JM, Imbert A, Diehl JL, et al. Increased intensity of treatment and decreased mortality in elderly patients in an intensive care unit over a decade. Crit Care Med [Internet]. 2010 [cited 2016 May 10]; 38(1): 59-64. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19633539

Kahn JM, Werner RM, David G, Have TRT, Benson NM, Asch DA. Effectiveness of Long-term Acute Care Hospitalization in Elderly Patients With Chronic Critical Illness. Medical Care [Internet]. 2013 Jan [cited 2016 May 10]; 51(1): 4-10. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22874500

Andersen FH, Flaatten H, Klepstad P, Romild U, Kvåle R. Long-term survival and quality of life after intensive care for patients 80 years of age or older. Ann Intensive Care [Internet]. 2015 [cited 2016 May 10]; 5(13): 1-13. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4456598/

Becker S, Müller J, Heer G, Braune S, Fuhrmann V, Kluge S. Clinical characteristics and outcome of very elderly patients ≥90 years in intensive care: a retrospective observational study. Ann Intensive Care [Internet]. 2015 [cited 2016 May 10]; 5(53): 1-8 Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4686461/

Mehmet Köş, Hafize T, Birgül Ö, Tuba S, Ali K, Yusuf A, Leyla K. Dahiliye yoğun bakımdaki yaşlı ve çok yaşlı hastaların klinik özelliklerinin karşılaştırılması. J Clin Exp Invest [Internet]. 2015 [cited 2016 May 10]; 6(2): 144-9. Available from: file:///C:/Users/cliente/Downloads/5000129948-5000202145-1-SM%20(7).pdf

Vosylius S, Sipylaite J, Ivaskevicius J. Determinants of outcome in elderly patients admitted to the intensive care unit. Age Ageing [Internet]. 2015 [cited 2016 May 10]; 34(2): 157-62. Available from: http://ageing.oxfordjournals.org/content/34/2/157.short

Fuchs L, Chronaki CE, Park S, Novack V, Baumfeld Y, ScottI D, et al. ICU admission characteristics and mortality rates among elderly and very elderly patients. Intensive Care Med [Internet]. 2012 [cited 2016 May 10]; 38: 1654–61. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22797350

Boumendil A, Angus D, Guitonneau AL, Menn AM, Ginsburg C, Takun K, et al. Variability of Intensive Care Admission Decisions for the Very Elderly. PLoS One [Internet]. 2012 [cited 2016 May 10]; 7(4). Available from: http://www.ncbi.nlm.nih.gov/pubmed/22509296

Cabrera LS, Sánchez-Palacios M, Medina EH, Robaina PE, Hernández ÃV. Características y pronóstico de los pacientes mayores con estancia muy prolongada en una Unidad de Cuidados Intensivos. Med Intensiva [Internet]. 2008 May [cited 2016 May 10]; 32 (4): 157-62. Available from: http://scielo.isciii.es/scielo.php?pid=S0210-56912008000400001&script=sci_arttext

Sousa MAS, Lima TR, Sousa AFL, Carvalho MM, Brito GMI, Camilotti A. Prevalência de infecção da corrente sanguínea em idosos internados em um Hospital Geral. Rev Pre Infec Saúde [Internet]. 2015 [cited 2016 May 13]; 1(3): 11-17. Available from: http://www.ojs.ufpi.br/index.php/nupcis/article/view/4252/pdf

Batista OMA, Alexandria FED, Valle ARMC, Santo MSG, Madeira MZA, Sousa AFL. Sensitivity of embryos related to the pneumonia associated with the ventilation mechanics. Rev pesqui cuid fundam [Internet] [cited 2016 May 13]. Available from:

http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/3447/pdf_1160

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Published

2017-01-24

Issue

Section

Nursing