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Clinical features of elderly ICU patients with septic shock due to intra-abdominal infection
Author(s): 
Pages: 529-531
Year: Issue:  6
Journal: Journal of Surgery Concepts & Practice

Keyword:  Elderly patientSeptic shockOrgan dysfunction;
Abstract: Objective To analyze the clinical features of septic shock due to intra-abdominal infections of the elderly patients in surgical intensive care unit(ICU). Methods The patients with septic shock due to intra-abdominal infections admitted in surgical ICU during 2014 were analyzed retrospectively and were divided into elderly group(≥65) and non-elderly group(<65). The clinical features of patients including chronic disease, APACHE Ⅱ score, secondary organ dysfunction, norepinephrine duration and dose requirements, mechanical ventilation time, length of ICU stay and mortality were compared with between 2 groups. Results The clinical parameters of the patients in elderly group including APACHEⅡ score, procalcitonin, chronic heart disease, acute respiratory dysfunction, acute kidney injury stag 2-3 or need continuous renal replacement therapy, incidence of multiple organ dysfunction, duration of mechanical ventilation, duration and daily dose of norepinephrine and mortality were significantly higher than those in non-elderly group(P<0.05). There was no difference in the other clinical parameters including incidence of hypertension, chronic obstructive pulmonary disease and diabetes, incidence of acute heart failure or arrhythmia and ICU stay between 2 groups(P>0.05). Conclusions The elderly patients with septic shock due to intra-abdominal infections were prone to acute respiratory dysfunction, acute kidney injury, intractable shock and higher mortality.
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