• Jose Orsini, Christa Blaak, Ben Shamian, Xavier Fonseca, Amr Salem, and Yaw-Ling Chen.
• Division of Critical Care Medicine, Department of Medicine, New York University School of Medicine, Woodhull Medical and Mental Health Center, 760 Broadway, Brooklyn, NY, 11206, USA. jose.orsini@woodhullhc.nychhc.org.
• Aging Clin Exp Res. 2016 Aug 1; 28 (4): 745-51.

BackgroundAdvanced age is associated with increased severity of acute critical illnesses and admission to ICU. Despite advances in the support for older critically ill patients, the short- and long-term mortality rates remain substantial. The purpose of this study is to analyze the factors influencing the outcome of a geriatric population admitted to the ICU.MethodsA single-center, prospective, observational study was conducted among all geriatric patients, 80 years or older, admitted to ICU during a 6-month study period.ResultsFifty-two patients were admitted. Mean age was 85.1 years (range 80-96), mean APACHE-II score was 24.7 (range 11-40), and mean frailty score was 5.8 (range 3-8). Thirty-nine (75 %) patients received mechanical ventilation, and 31 (59.7 %) were on vasoactive therapy. Twenty-four (46.3 %) patients died during their hospital admission, and 13 (25 %) of them expired in ICU.DiscussionAdvanced age, needs for vasopressor therapy, and mechanical ventilation are independent predictive factors of adverse outcome. Pre-admission functional status was not independently associated with unfavorable outcome.

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