Evidence map›Paper›PMID 39266274›Full record

ArticleAcute and critical care2024

The impact of age on mortality in the intensive care unit: a retrospective cohort study in Malaysia.

Abdul Jabbar Ismail, W Mohd Nazaruddin W Hassan, Mohd Basri Mat Nor, Wan Fadzlina Wan Muhd Shukeri

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Article in Acute and critical care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

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8citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Abdul Jabbar IsmailSchool of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia.
W Mohd Nazaruddin W HassanSchool of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia.
Mohd Basri Mat NorKulliyyah of Medicine, International Islamic University, Kuantan, Malaysia.
Wan Fadzlina Wan Muhd ShukeriSchool of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAge is a significant consideration for intensive care unit (ICU) admission. However, the reported associations between increasing age and mortality vary across studies, and data in the local context of Malaysia are lacking. The objective of the present study was to determine the impact of increasing age on ICU mortality.

methodsA retrospective cohort study of ICU patients was conducted between January 2020 and November 2023 at a university hospital in Malaysia. Patients were classified into two categories according to age (years) and into four groups according to National Library of Medicine Medical Subject Headings (MeSH): young adult (19-24), adult (25-44), middle age (45-64), and elderly (≥65). The Cochran-Armitage test for trend and Cox proportional hazards regression analyses were performed to evaluate the impact of increasing age on ICU mortality.

resultsA total of 1,661 patients was analyzed. The Cochran-Armitage test showed a significant positive association between ICU mortality rate and age group (Z=-4.86, P<0.01) or MeSH category (Z=-5.36, P<0.01). After adjusting for other confounders, the strongest predictor for ICU mortality in the Cox proportional hazards regression analyses was age, with the elderly age group having the highest adjusted hazard ratio of 4.777 (95% CI, 1.128-20.231; P=0.03).

conclusionsAge had a significant impact on ICU mortality in our cohort of critically ill patients.

Indexed as

agedage groupsintensive care unitsmortalityprognosis

Identifiers

PMID39266274
PMCPMC11392691

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