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Signa vitae : journal for intesive care and emergency medicine, Vol. 8 No. 2, 2013.

Original scientific paper

The significance of demographic factors (age, sex, preoperative physiological status) and type of surgery on patients’ outcome in ICU

MATEO PERIĆ ; Department of anesthesiology, reanimatology and intensive care, Mostar University Clinic, Kralja Tvrtka bb, 88 000 Mostar
ZORAN KARLOVIĆ ; Department of anesthesiology, reanimatology and intensive care, Mostar University Clinic, Kralja Tvrtka bb, 88 000 Mostar
DAJANA VLADIĆ ; Department of anesthesiology, reanimatology and intensive care, Mostar University Clinic, Kralja Tvrtka bb, 88 000 Mostar
ANITA KOSJERINA ; Department of anesthesiology, reanimatology and intensive care, Mostar University Clinic, Kralja Tvrtka bb, 88 000 Mostar
VIŠNJA MAJERIĆ-KOGLER ; University of Zagreb, School of Medicine, Zagreb, Croatia

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Abstract

The incidence of postoperative death has changed little in recent years. Most deaths occur in older patients with coexisting medical diseases who undergo major surgery. The objective of our research was to investigate the significance of demographic factors (age, gender, preoperational physiological status) and type of surgery on the outcome of treatment. This study included 288 patients older than 18 years of age that were treated in the intensive care unit (ICU) for at least 24 hours after a surgical procedure (both elective and emergency) between 1st January 2010 and 31st March 2011. The average age of patients included in the survey was 68 (range 19-88). APACHE II score was between 2.9 and 83.1 points, with an average value of 12.90 points. In this study, male gender (n=186) was much more common than female gender (n=102). Age of patients who died in the ICU was higher than the age of those who were discharged but it was not a statistically significant predictor of patient death. APACHE II score is associated with increased age of patients, neurosurgical operations and incidence of nosocomial infections. Patients’ age and female gender had a strong negative correlation with nosocomial infection. Actual mortality rate for patients was 21%. Ratio between actual and predicted mortality was 1.4.

Keywords

demographics; ICU; APACHE; type of surgery; nosocomial infections

Hrčak ID:

110340

URI

https://hrcak.srce.hr/110340

Publication date:

1.10.2013.

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