The prognostic role of charlson comorbidity index for critically ill elderly patients

Basit Öğe Kaydı
dc.contributor.authorYildiz, Abdulkerim
dc.contributor.authorYigit, Ali
dc.contributor.authorBenli, Ali Ramazan
dc.date.accessioned2024-09-29T16:29:23Z
dc.date.available2024-09-29T16:29:23Z
dc.date.issued2020
dc.departmentKarabük Üniversitesien_US
dc.description.abstractObjectives: Comorbidities represent a risk factor for adverse events in several critical illnesses. The aim ofthis study was to identify the relationship between the Charlson Comorbidity Index (CCI) with mortality andlength of stay (LOS) in critically ill elderly patients.Methods: A retrospective analysis was made of patients admitted to our tertiary adult intensive care unit (ICU)between January 2015 and January 2016. The impact of comorbidity was evaluated with the CCI. Otherrequired data were retrieved from the patients' follow-up records.Results: The study included a total of 251 patients. The mean age was 78.79 ± 6.70 years. The total mortalityrate was 41.0%. The most common cause for admission was sepsis and acute respiratory failure (18.3% vs18.3%). The median APACHE II score was significantly higher in non-survivors than survivors (31.0 [13.0-47.0] vs 21.0 [9.0-40.0]; p < 0.01). The median CCI was 2.0 (0.0-7.0) for survivors and 3.0 (1.0-10.0) fornon-survivors. The CCI of non-survivors was significantly higher than that of survivors (p = 0.005). Patientswith CCI > 3 had higher mortality than those with CCI ? 3 (p < 0.05). The odds ratio of the APACHE II scorefor mortality was 1.214 (95% CI: 1.154-1.276), and for CCI it was 1.320 (95% CI: 1.088-1.602). There was asignificant positive correlation between CCI and LOS (r = 0.147; p = 0.020).Conclusions: CCI is strongly associated with both mortality and LOS. It can be used as a prognostic markerfor elderly patients in critical care.en_US
dc.identifier.doi10.18621/eurj.451391
dc.identifier.endpage72en_US
dc.identifier.issue1en_US
dc.identifier.startpage67en_US
dc.identifier.trdizinid408251en_US
dc.identifier.urihttps://doi.org/10.18621/eurj.451391
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/408251
dc.identifier.urihttps://hdl.handle.net/20.500.14619/10503
dc.identifier.volume6en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofThe European Research Journalen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleThe prognostic role of charlson comorbidity index for critically ill elderly patientsen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

TR-Dizin İndeksli Yayınlar Koleksiyonu