Association of comprehensive evaluation scores with in-hospital mortality in critical geriatric patients in a national reference hospital in Peru.
DOI:
https://doi.org/10.35434/rcmhnaaa.2023.164.2158Keywords:
Palliative Care, mortality, aged, Intensive Care Units, PeruAbstract
Objective: To evaluate the association of comprehensive assessment scores with mortality in geriatric patients of a national reference hospital in Peru. The study: A prospective cohort study was conducted. Patients over 60 years of age were included during the period from November 1, 2021 to June 30, 2022. The data was collected from the clinical history. SOFA, KATZ, FAST and Charlson Index scores were included to evaluate the association with mortality. Findings: 93 participants were found.The prevalence of mortality was 32.3%. In the simple regression, an association was observed between SOFA score greater than or equal to 12 (RR:15.3), FAST score (RR:2.29) and the Charlson index (RR:2.46) with intrahospital mortality. In the multiple regression adjusted for age and sex, only the SOFA score maintained statistical significance (RR: 13.42 p<0.001). Conclusion: The SOFA score has a strong association with in-hospital mortality in geriatric patients admitted to an intensive care unit in Peru.
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Romanò M. Facilitating supportive care in cardiac intensive care units. Current Opinion in Supportive and Palliative Care. 2020 Mar;14(1):19–24. https://doi.org/10.1097/SPC.0000000000000479
Kyeremanteng K, Gagnon LP, Thavorn K, Heyland D, D’Egidio G. The Impact of Palliative Care Consultation in the ICU on Length of Stay: A Systematic Review and Cost Evaluation. J Intensive Care Med. 2018 Jun 1;33(6):346–53. https://doi.org/10.1177/0885066616664329
Hurst E, Yessayan L, Mendez M, Hammad A, Jennings J. Preliminary Analysis of a Modified Screening Tool to Increase the Frequency of Palliative Care Consults. Am J Hosp Palliat Care. 2018 Mar 1;35(3):417–22. https://doi.org/10.1177/1049909117712229
George N, Phillips E, Zaurova M, Song C, Lamba S, Grudzen C. Palliative Care Screening and Assessment in the Emergency Department: A Systematic Review. Journal of Pain and Symptom Management. 2016 Jan 1;51(1):108-119.e2. https://doi.org/10.1016/j.jpainsymman.2015.07.017
Ganz FD, Nun MB, Raanan O. Introducing palliative care into the intensive care unit: An interventional study. Heart & Lung: The Journal of Cardiopulmonary and Acute Care. 2020 Nov 1;49(6):915–21. https://doi.org/10.1016/j.hrtlng.2020.07.006
Zalenski R, Courage C, Edelen A, Waselewsky D, Krayem H, Latozas J, et al. Evaluation of screening criteria for palliative care consultation in the MICU: a multihospital analysis. BMJ Supportive & Palliative Care. 2014 Sep 1;4(3):254–62. https://doi.org/10.1136/bmjspcare-2013-000570
Ma J, Chi S, Buettner B, Pollard K, Muir M, Kolekar C, et al. Early Palliative Care Consultation in the Medical ICU: A Cluster Randomized Crossover Trial. Critical Care Medicine. 2019 Dec;47(12):1707–15. https://doi.org/10.1097/CCM.0000000000004016
Sihra L, Harris M, O’Reardon C. Using the Improving Palliative Care in the Intensive Care Unit (IPAL-ICU) Project to Promote Palliative Care Consultation. Journal of Pain and Symptom Management. 2011 Nov 1;42(5):672–5. https://doi.org/10.1016/j.jpainsymman.2011.08.002
Nelson JE, Curtis JR, Mulkerin C, Campbell M, Lustbader DR, Mosenthal AC, et al. Choosing and Using Screening Criteria for Palliative Care Consultation in the ICU: A Report From the Improving Palliative Care in the ICU (IPAL-ICU) Advisory Board*. Critical Care Medicine. 2013 Oct;41(10):2318–27. https://doi.org/10.1097/CCM.0b013e31828cf12c
García Rosales JS. Uso Del Score SOFA Como Indicador Pronóstico De Mortalidad En Pacientes Adultos Que Ingresaron A La Unidad De Cuidados Intensivos. 2013. Doi: http://dspace.unitru.edu.pe/handle/UNITRU/262
Lambden S, Laterre PF, Levy MM, Francois B. The SOFA score—development, utility and challenges of accurate assessment in clinical trials. Critical Care. 2019;23(1). https://doi.org/10.1186/s13054-019-2663-7
Villa G, Amass T, Giua R, Lanini I, Chelazzi C, Tofani L, et al. Validation of end-of-life scoring-system to identify the dying patient: A prospective analysis. BMC Anesthesiology. 2020;20(1). https://doi.org/10.1186/s12871-020-00979-y
Telles GP, Ferreira IBB, Carvalho de Menezes R, do Carmo TA, David Pugas PL, Marback LF, et al. (2020) Comparison of a modified Sequential Organ Failure Assessment Score using RASS and FOUR. PLoS ONE 15(2): e0229199.https://doi.org/10.1371/journal.pone.0229199
Chacón-Cruzado MH, Parodi Freyre D, Runzer-Colmenares FM, Parodi-García JF, Rojas-Jaimes J, De Noriega-Madalengoitia J. Riesgo de mortalidad según el índice de Charlson en comparación con el índice de fragilidad en Pacientes adultos Mayores del Centro Médico naval entre Los Años 2010 al 2015. Horizonte Médico (Lima). 2020;20(4). http://dx.doi.org/10.24265/horizmed.2020.v20n4.09
González Silva Yolanda, Abad Manteca Laura, Fernández-Gómez María José, Martín-Vallejo Javier, Red Gallego Henar de la, Pérez-Castrillón José Luis. Utilidad del índice de comorbilidad de Charlson en personas ancianas. Concordancia con otros índices de comorbilidad. Rev Clin Med Fam. 2021. 14 (2): 64-70. Epub 26-Jul-2021. DOI: 10.55783/rcmf.140205
González-Rodríguez Rubén, Gandoy-Crego Manuel, Díaz Miguel Clemente. Determinación de la situación de dependencia funcional. Revisión sobre los instrumentos de evaluación más utilizados. Gerokomos.; 28(4): 184-188. Link: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2017000400184
Auer SR, Sclan SG, Yaffee RA, Reisberg B. The neglected half of alzheimer disease: Cognitive and functional concomitants of severe dementia. Journal of the American Geriatrics Society. 1994;42(12):1266–72. https://doi.org/10.1111/j.1532-5415.1994.tb06509.x
Dasgupta M. Cognitive impairment in hospitalized seniors. Geriatrics. 2016;1(1):4. https://doi.org/10.3390/geriatrics1010004
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