The Accuracy of Physician View of Endpoint for Elderly Patient in ICU at Admission and Actual Discharge Outcome

Document Type : Original Article

Authors

Geriatric Medicine& Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Abstract

Background: The average age and l i fe expectancy of the population are increasing and so a growing number of
elderly patients are being admi tted to the intensive care uni t
Aim: To detect the accuracy of the physician view of endpoint on ICU admission and actual discha rge outcome
Methods: A prospective cohor t study conducted on140 elder ly patients (60 years and above) admi t ted to medical
ICU wi th acute i l lness, each patient was subjected to complete medical history, physical examination and
assessment of medical comorbi di ties, ICU mortal i ty scores: (APACHE II , SAPS II , MPM II 0, MPM24) and
calculation of the predicted mor tal i ty, establ ishment of intensivist point of view regarding the predicted outcome
and establ ishment of end point of each patient (ei ther discharge o r death) .
Conclusions: There is a highly signi ficant association between physician view of end point of the patient on ICU
admission and actual discharge of the patients in ICU

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