Paracelsus Med Univ, Dept Cardiol, Salzburg, Austria
Bruno, Raphael Romano (författare)
Univ Hosp, Dep Cardiol Pulmonol & Angiol, Dusseldorf, Germany
Marsh, Brian (författare)
Mater Misericordiae Univ Hosp, Dublin, Ireland;Mater Misericordiae Univ Hosp, Dept Crit Care Med, Dublin, Ireland
Moreno, Rui (författare)
Hosp Sao Jose, Ctr Hosp Lisboa Cent, Unidade Cuidados Intensivos Neurocrit, Fac Ciencia Med Lisboa,Nova Med Sch, Lisbon, Portugal
Oeyen, Sandra (författare)
Ghent Univ Hosp, Dept Intens Care, 1K12IC, Ghent, Belgium;Ghent Univ Hosp, Dept Intensive Care, Ghent, Belgium
Ohman, Christina Agvald (författare)
Karolinska Univ Hosp, Solna, Sweden
Pinto, Bernadro Bollen (författare)
Geneva Univ Hosp, Geneva, Netherlands;Geneva Univ Hosp, Peri Intervent Intermidate Care SINPI, Geneva, Switzerland
Soliman, Ivo W. (författare)
Univ Utrecht, Dept Intens Care Med, Univ Med Ctr, Utrecht, Netherlands
Szczeklik, Wojciech (författare)
Jagiellonian Univ, Intens Care & Perioperat Med Div, Med Coll, Krakow, Poland;Univ Hosp Krakow, Dept Intens Care & Perioperat Med, Krakow, Poland
Valentin, Andreas (författare)
Kardinal Schwarzenberg Hosp, Schwarzach, Austria
Watson, Ximena (författare)
St Georges Univ Hosp, London, England
Zafeiridis, Tilemachos (författare)
Gen Hosp Larissa Tsakalof Larissa, Intens Care Unit, Larisa, Greece
De Lange, Dylan W. (författare)
Univ Utrecht, Dept Intens Care Med, Univ Med Ctr, Utrecht, Netherlands
Guidet, Bertrand (författare)
Hop St Antoine, Hop Paris, Serv Reanimat Med, F-75012 Paris, France;UPMC Univ Paris 06, Sorbonne Univ, UMR S 1136, Inst Pierre Louis Epidemiol & Sante Publ, F-75013 Paris, France;INSERM, UMR S 1136, Inst Pierre Louis Epidemiol & Sante Publ, F-75013 Paris, France;Reanimat Med, St Antoine, France
Flaatten, Hans (författare)
Univ Bergen, Dept Clin Med, Dept Anaestesia & Intens Care, Haukeland Univ Hosp, Bergen, Norway;Haukeland Hosp, Gen ICU, Bergen, Norway
Schmutz, Rene (författare)
Hosp St John God Vienna, B5, Vienna, Austria
Wimmer, Franz (författare)
Kardinal Schwarzenbergsches Krankenhaus, Schwarzach Im Pongau, Austria
Eller, Philipp (författare)
Med Univ Graz, Intensivstn Univ, Klin Innere Med, Graz, Austria
Joannidis, Michael (författare)
Univ Hosp Innsbruck, MICU, Innsbruck, Austria
De Buysscher, Pieter (författare)
AZ Sint Lucas Ghent, Dept Intens Care, Ghent, Belgium
De Neve, Nikolaas (författare)
OL Vrouwhosp Aalst, Aalst, Belgium
Swinnen, Walter (författare)
AZ Sint Blasius Dendermonde, Dept Intens Care Med, Dendermonde, Belgium
Abraham, Paul (författare)
Geneva Univ Hosp, Adult Intens Care SIA, Geneva, Switzerland
Hergafi, Leila (författare)
Hop Fribourgeois, Serv Soins Intensifs, Fribourg, Switzerland
Background: We aimed to evaluate differences in outcome between patients admitted to intensive care unit (ICU) after elective versus acute surgery in a multinational cohort of very old patients (80 years; VIP). Predictors of mortality, with special emphasis on frailty, were assessed.Methods: In total, 5063 VIPs were induded in this analysis, 922 were admitted after elective surgery or intervention, 4141 acutely, with 402 after acute surgery. Differences were calculated using Mann-Whitney-U test and Wilcoxon test. Univariate and multivariable logistic regression were used to assess associations with mortality.Results: Compared patients admitted after acute surgery, patients admitted after elective surgery suffered less often from frailty as defined as CFS (28% vs 46%; p < 0.001), evidenced lower SOFA scores (4 +/- 5 vs 7 +/- 7; p < 0.001). Presence of frailty (CFS >4) was associated with significantly increased mortality both in elective surgery patients (7% vs 12%; p = 0.01), in acute surgery (7% vs 12%; p = 0.02).Conclusions: VIPs admitted to ICU after elective surgery evidenced favorable outcome over patients after acute surgery even after correction for relevant confounders. Frailty might be used to guide clinicians in risk stratification in both patients admitted after elective and acute surgery.
Ämnesord
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)