Üçüncü basamak bir hastaneye başvuran çok yaşlı hastalarda Charlson Komorbidite İndeksi ile mortalite tahmini

Year 2022, Volume: 47 Issue: 1, 199 - 207, 31.03.2022

Murat Daş , Okan Bardakcı , Gökhan Akdur , İmran Kankaya , Coşkun Bakar , Okhan Akdur , Yavuz Beyazıt

https://doi.org/10.17826/cumj.1017164

Cited By: 3

Abstract

Amaç: Çoğu ülkede, yaşlı nüfusun acil servislere (AS’ler) giderek artan bir başvuru oranı vardır. Özellikle bu yaşlı hastalar, fonksiyonel ve yaşam kalitesini etkileyen birden fazla komorbiditeye sahip oldukları için genç hastalardan farklıdır. Bu çalışmanın amacı, Charlson komorbidite indeksinin (CCI) çok yaşlı hasta popülasyonunun kısa ve uzun vadeli prognozunu tahmin edip etmediğini belirlemektir.
Gereç ve Yöntem: Çalışma, 2013 ve 2018 yılları arasında Çanakkale Onsekiz Mart Üniversitesi (ÇOMÜ) Hastanesine başvuran 85 yaş ve üstü hastaların acil servis (AS) ziyaretlerinin tanımlayıcı, retrospektif bir analiziydi. Hastaların demografik verileri CCI'ye göre analiz edildi. Değişkenlerin mortaliteyi etkileyip etkilemediğini belirlemek için Cox-regresyon analizleri yapıldı.
Bulgular: Yaş ortalaması 86,96±2,49 olan 85 yaş ve üzeri (507 erkek, 635 kadın) toplam 1142 hasta çalışmaya dahil edildi. Çok değişkenli Cox regresyon analizine göre erkek cinsiyet, CCI ≥6 ve yoğun bakım ünitesine yatış, artan mortalite oranları ile anlamlı şekilde ilişkiliydi.
Sonuç: CCI akut hasta olarak hastaneye yatırılan çok yaşlı hastalarda kısa ve uzun dönem prognozu tahmin eder. CCI, hastaneden taburculukta iyileşmenin bir göstergesi olarak, kabulde, çok yaşlı hastaların seçilmesinde kullanılabilir.

Keywords

Charlson komorbidite indeksi, acil servis, hospitalizasyon, mortalite, 80 ve üstü yaş

Supporting Institution

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Thanks

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Prediction of mortality with Charlson Comorbidity Index in super-elderly patients admitted to a tertiary referral hospital

Abstract

Purpose: In most countries, there is an ever-increasing admission rate of the elderly population into emergency departments (EDs). In particular, these elderly patients differ from younger patients because they have multiple comorbidities that affect the functionality and quality of life. The goal of this study is to reveal whether the Charlson comorbidity index (CCI) foresee the short- and long-term prognosis of the super-elderly patient population.
Materials and Methods: The study was a descriptive, retrospective analysis of emergency department (ED) admissions by patients over 85 years of age and admitted to the Canakkale Onsekiz Mart University (COMU) Hospital between 2013 and 2018. The demographic data of the patients were analyzed according to CCI. Cox-regression analyses were conducted to determine whether the variables affected mortality.
Results: A total of 1142 patients aged 85 and older (507 men, 635 women) with a mean age of 86.96±2.49 were included in the study. According to the multivariable Cox regression analysis male gender, CCI ≥6 and ICU admission were significantly associated with increased mortality rates
Conclusion: The CCI predicts short and long-term prognosis in acutely ill, hospitalized super-elderly patients. The CCI could be used to select super-elderly patients at admission as an indicator of improvement at hospital discharge.

Keywords

Charlson comorbidity index, emergency department, hospitalization, mortality, aged 80 and over

Project Number

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