Citation

Peñasco Y, González-Castro A, Rodríguez Borregán JC, Ortiz-Lasa M, Jáuregui Solórzano R, Sánchez Arguiano MJ, Escudero Acha P. Med. Intensiva 2017; 41(7): 394-400.

Vernacular Title

Limitación del tratamiento de soporte vital en el traumatismo grave en edades avanzadas tras el ingreso en una unidad de cuidados intensivos.

Affiliation

Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.medin.2017.03.009

PMID

28528969

Abstract

OBJECTIVE: To analyze the factors associated to limitation of life-sustaining treatment (LLST) measures in elderly patients admitted to an intensive care unit (ICU) due to trauma.

DESIGN: A retrospective, descriptive, observational study was carried out. SETTING: ICU. PATIENTS: A total of 149 patients aged 65 years or older admitted to the ICU due to trauma. Hospital mortality, the decision to limit life-sustaining treatment and the factors associated to these measures were analyzed. INTERVENTIONS: None.

RESULTS: The mean patient age was 76.3±6.36 years. The average APACHE II and ISS scores were 15.9±7.4 and 19.6±11.4 points, respectively. LLST were used in 37 patients (24.8%). Factors associated to the use of these measures were patient age (OR 1.16; 95% CI 1.08 to 1.25], APACHE II score (OR 1.11; 95% CI 1.05-1.67), ISS score (OR 1.03; 95% CI 1.01 to 1.06), admission due to neurological impairment (OR 19.17; 95% CI 2.33 to 157.83) and traumatic brain injury (OR 2.89; 95% CI 1.05 to 7.96).

CONCLUSIONS: LLST is frequently established in elderly patients admitted to the ICU due to trauma, and is associated to hospital mortality. Factors associated with the use of these measures are patient age, higher APACHE II and ISS scores, admission due to neurological impairment, and the presence of head injuries.

Copyright © 2017 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

Language: es

Keywords

Ancianos; Elderly; Geriatric trauma; Limitación de tratamiento de soporte vital; Limitation of life-sustaining treatment; Politraumatismo; Polytrauma; Traumatismo geriátrico