Retrospective Analysis of Long-Term Survival in Very Elderly (age ≥80) Critically Ill Patients of a Medical Intensive Care Unit at a Tertiary Care Hospital in Korea

• Published in: Tuberculosis and respiratory diseases Vol. 83; no. 3; pp. 242 - 247
• Main Authors: Lee, Seung Hun, Kim, Ju Young, Kim, Tae Hoon, Ju, Sun Mi, Yoo, Jung Wan, Lee, Seung Jun, Cho, Yu Ji, Jeong, Yi Yeong, Lee, Jong Deog, Kim, Ho Cheol
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Academy of Tuberculosis and Respiratory Diseases 01.07.2020; 대한결핵및호흡기학회
• Subjects: intensive care unit; long-term survival; very elderly; 내과학; Very Elderly; Intensive Care Unit; Long-Term Survival
• ISSN: 1738-3536; 2005-6184
• DOI: 10.4046/TRD.2019.0032

The purpose of this study was to evaluate the long-term survival rates of very elderly (age ≥80) critically ill patients admitted to a medical intensive care unit (MICU) at a regional tertiary-care hospital in Korea. We retrospectively analyzed data from patients who survived after discharged from the MICU of our hospital. Survival rates at 90 days, 1 year, 2 years, and 3 years were assessed between patients age ≥80 and those age <80. Survival status was evaluated using the National Health Insurance Service data. A total of 468 patients were admitted, 286 (179 males, 97 females; mean age, 70.18±13.2) of whom survived and were discharged soon after their treatment. Among these patients, 69 (24.1%) were age ≥80 and 217 (75.9%) were age <80. The 90-day, 1-year, 2-year, and 3-year survival rates of patients age ≥80 were significantly lower than those in patients age <80 (50.7%, 31.9%, 15.9% and 14.5% vs. 68.3%, 54.4%, 45.6%, and 40.1%, respectively) (p<0.01). The Kaplan-Meier survival curves showed significantly lower survival rates in patients age ≥80 than in those age <80 (p=0.001). The poor rates of long-term survival in very elderly (age ≥80) and critically ill patients admitted to an ICU should be considered while managing and treating them.