Introduction: The number of elderly patients followed in intensive care units
is increasing day by day. In the literature, there are a limited number of studies
covering patients aged 90 and over. We aimed to investigate the epidemiologic
characteristics and clinical outcomes of elderly patients aged ≥90 years admitted
to intensive care unit.
Materials and Methods: In this study, medical records of patients aged ≥90
years admitted to intensive care unit, between January 2015 and January 2018,
were retrospectively reviewed. Demographic data, reason for admission (medical
or surgical), Acute Physical and Chronic Health Evaluation II (APACHE II) score, need
for and duration of mechanical ventilation, need for inotropic agents, duration of
intensive care unit stay, and mortality rate were recorded.
Results: A total of 107 nonagenarians were evaluated. The mean age of the
patients was 92.65 ± 2.36 years, and 72 of them were women. The mean score of
APHACHE II was 23.6 ± 7.2. Most patients were admitted due to medical reasons (n
= 82, 76.63%). Sixty-four of the medical patients, and four of the surgical patients
had died in the intensive care unit (n = 68, 63.55%). APACHE II score, need for and
the duration of mechanical ventilation, need for inotropic agents, the duration of
intensive care unit stay, and the mortality rate were higher in medical patients than
in surgical patients.
Conclusions: The mortality rates of the medical patients were high; nevertheless,
we believe that surgical patients more benefit from intensive care unit follow-up.
Keywords: Aged; Patient; Intensive Care Unit; Mortality.