Original Articles
Clinical and Demographic Profile of Geriatric Patients Admitted in Intensive Medical Care Unit of a Tertiary Care Hospital, Jodhpur, Rajasthan | |
Prabhat Kanvaria, Khushala Ram Choudhary | |
Background: Elderly populations are now the most rapidly growing population worldwide. The ageing population is currently and is expected to continue to place increasing demands on intensive care services. To improve facilities at tertiary care, first we should have statistical data of burden of geriatric patient’s disease. Our aim of this study was to assess the clinical and demographic profile of elderly patients admitted to the intensive medical care unit.Materials& Methods: A hospital based longitudinal observational study done on 220 geriatric patients; those were admitted in intensive medical care unit of SN Medical College & Hospital, Jodhpur during one year period. The relevant history, clinical examination findings, comorbidities and etiological history were entered in case record form. SOFA score of every patient was calculated on admission. The Acute Physiology and Chronic Health Evaluation (APACHE) II score incorporates 12 physiologic variables, age, and an assessment of chronic diseases in individual patients. We entered the data from the analyzers and questionnaire into Microsoft Excel and analyzed it using SPSS version 16.0.Results: Our study showed that most of the patients fall under the age group of 60-70 years (58.63%). Out of total 220 geriatric patients, 137 (62.27%) are survivors and 83 (37.72%) geriatric patients are not-survivors.Most patients (N=144) needed ventilators in ICU. Out of total 144 who required ventilators 73 patients survived & 71 patients did not survive. Out of total 72 who did not require ventilators 64 patients survived & 12 patients did not survive.Comparison of mean value of APACHE II score, SOFA score &charlson comorbidity index in survivors and non survivors was statistically not significant (P=0.2455, P=0.0038** & P=0.0006***). The mean value of ICU stay in survivors was 6.978 days and non-survivors was 8.566 days, which was statistically significant (P<0.0001***).Conclusion: We found that mortality in elderly patients was higher among those with prolonged ICU stay. Rapid expansion of geriatric population, need to develop geriatric health care services and create awareness about the control of underlying diseases to reduce the mortality and morbidity is need of the last hour of the geriatric population. |
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