Outcome prediction in critically ill elderly patients using severity of illness, comorbidities and frailty scores and their comparison: A prospective observational study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- To compare efficacy of different clinical scores to predict ICU mortality in critically ill elderly patients in medical ICUs critically ill elderly patients in medical ICUs
研究概览
简要总结
Elderly OR senior citizens have been defined in the National policy for older persons as people with age more than 60 years. In India’ forecasts predict the percentage of population older than 60 years will increase from 8% in 2015 to 19% in 2050. In the past decade, there is an increase in admissions of elderly individuals into intensive care units (ICU).
As per literature, elderly patients makeup betweeen 26% and 51% of Icu admissions. Studies have reported the mortality rates in elderly ICU patients varying from 3% to 64%, depending upon the type of patients studied.
The commonly associated factors with increased mortality among elderly patients can be broadly classified into severity of illness, comorbidities and fraility. These factors in icu can be measured using tools such as APACHE II, SOFA score for severity of illness, Charlson and Elixhause comorbidity indices for comorbidities, Clinical Fraility Scale and mFI-11 for fraility in older people.
However, these parameters have not been compared in a single study. Hence, we aimed to compare the various scores and evaluate their efficacy in predicting outcomes of critically ill elderly patients admitted in MICUs
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 60.00 Year(s) 至 99.00 Year(s)（—）
- 性别
- All
入选标准
- •Age more than 60 years All study subjects who are willing to give informed consent for participation in the study.
排除标准
- •History of cardiopulmonary resuscitation ICU stay less than 24hours Those with donot resuscitate and donot intubate orders Subsequent ICUs admissions during the same hospitalization.
结局指标
主要结局
To compare efficacy of different clinical scores to predict ICU mortality in critically ill elderly patients in medical ICUs critically ill elderly patients in medical ICUs
时间窗: Will be observed till patients in hospital.
次要结局
- To find out the overall ICU mortality and length of stay in elderly patients in medical ICUs.(Factors associated with increased mortality.)
研究者
Dr Vinay Kumar Maurya
Max Super Speciality Hospital, Saket, New Delhi