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2016, Number 3

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Med Crit 2016; 30 (3)

Evaluation of mortality and other clinical outcomes in elderly mexican population with sepsis

Gastelum DJR, Olvera GCI, Navarro AJL, Sánchez CA, Torres AO, Delgado ALY, Romano APV, Franco GJ, Aguirre SJS

Language: Spanish
References: 15
Page: 167-170
PDF size: 177.05 Kb.


ABSTRACT

Introduction: The elderly population in Mexico is increasing, aging Mexican population significantly accelerate in this century. In 2000, people aged 60 represented 6.8% of the total population and is expected to be 28.0% in 2050. There is lack of date about the old critically ill patients with sepsis and this disease increase the rate of hospitalization in the ICU, which is why it is necessary to make more precise therapeutic consideration and have a clinical picture in this group.
Objectives: ICU mortality in Mexican patients over 65 years of age diagnosed with sepsis.
Methods: Prolective, observational and descriptive study.
Results: We enroll 216 patients of which 143 belong to group A patients (over 65 years), while group B (under 65 years) had 73 patients, group B presents OR 0.27 (95% CI = 0.14 -0539) confers a protective factor, compared to group A with OR 2.6 (95% CI = 1.5-2.5) which had shown higher mortality associated with sepsis. Sepsis Severity Score (SSS) was more accurate tool predicting mortality in patients with sepsis, above APACHE II, SOFA and PIRO.
Conclusion: Having more than 65 years of age and enter the ICU secondary to sepsis, confers increased mortality in this age group. The best way to predict mortality in sepsis is the SSS.


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