Effects of Anemia on the Outcome in Elderly Admitted to ICU
Dina Barakat Mohamed Barakat;
Abstract
The elderly population contributes to considerable percentage of the ICU admissions. In general, advanced age is associated with higher mortality in ICU.
Anemia is a common condition in critically ill patients. It results from several factors including hemodilution, blood loss, frequent blood sampling and impaired erythropoiesis.
Anemia is thought to be associated with worse outcome in critically ill patients including higher SOFA scores, longer length of stay and increased mortality.
The current study aimed to assess the effect of anemia on the ICU outcomes of critically ill elderly which was assessed through ICU mortality, assessing severity of illness on admission using APACHE II score, daily assessment of morbidity using daily SOFA score, ICU complications and length of ICU stay.
In our study group 61% was anemic; the most common admission diagnosis was cerebrovascular stroke.
We found that mild anemia more common in older age. Also anemia was more common in patients with past history of CLD and CKD.
In our study group we found that mortality was higher among anemic cases and discharge was higher among non anemic group; however that was not statistically significant. We found that APACHE II score was higher among anemic patients, however, not statistically significant, but APACHE II score was statistically related to degree of anemia.
In the current study we found that presence of anemia, its grade and type is significantly related to SOFA score on admission, mean SOFA score and maximum SOFA score.
Anemia is a common condition in critically ill patients. It results from several factors including hemodilution, blood loss, frequent blood sampling and impaired erythropoiesis.
Anemia is thought to be associated with worse outcome in critically ill patients including higher SOFA scores, longer length of stay and increased mortality.
The current study aimed to assess the effect of anemia on the ICU outcomes of critically ill elderly which was assessed through ICU mortality, assessing severity of illness on admission using APACHE II score, daily assessment of morbidity using daily SOFA score, ICU complications and length of ICU stay.
In our study group 61% was anemic; the most common admission diagnosis was cerebrovascular stroke.
We found that mild anemia more common in older age. Also anemia was more common in patients with past history of CLD and CKD.
In our study group we found that mortality was higher among anemic cases and discharge was higher among non anemic group; however that was not statistically significant. We found that APACHE II score was higher among anemic patients, however, not statistically significant, but APACHE II score was statistically related to degree of anemia.
In the current study we found that presence of anemia, its grade and type is significantly related to SOFA score on admission, mean SOFA score and maximum SOFA score.
Other data
| Title | Effects of Anemia on the Outcome in Elderly Admitted to ICU | Other Titles | آثار الأنيميا على المصير فى كبار السن فى الرعاية المركزة | Authors | Dina Barakat Mohamed Barakat | Issue Date | 2015 |
Recommend this item
Similar Items from Core Recommender Database
Items in Ain Shams Scholar are protected by copyright, with all rights reserved, unless otherwise indicated.