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Clinical features of elderly ICU patients with septic shock due to intra-abdominal infection
Author(s): YING Ke, HUANG Jie, LI Lei, WU Jun, QIN Shuai, Department of Intensive Care Unit, the First People’s Hospital of Yongkang, Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
Pages: 529-
531
Year: 2016
Issue:
6
Journal: Journal of Surgery Concepts & Practice
Keyword: Elderly patient; Septic shock; Organ 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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