ArticleFrontiers in medicine2025
Clinical characteristics and outcome of very old (≥90 years) critically ill patients with need for intensive care after surgical intervention.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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1 citing paper in PubMed.
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13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Due to increasing life expectancy and decreasing morbidity, society is aging. Especially the group of very old patients (≥90 years) is currently increasing significantly. This leads to increasing numbers of very old patients requiring visceral and thoracic surgery. However, due to the multimorbidity of this cohort, postoperative intensive care is often required. Currently, insufficient data are available regarding the treatment and therapy of very old surgical critically ill patients. Therefore, this study aimed to investigate factors associated with early postoperative mortality to identify patients at risk. Methods: A retrospective cohort study was performed using clinical and sociodemographic data of all very old patients admitted to the Department of Intensive Care Medicine after visceral or thoracic surgery at the University Medical Center Hamburg-Eppendorf, between January 2008 and April 2019. Univariate comparisons and multivariate regression analysis were performed to identify factors associated with early postoperative death. Results: In total, 84 patients were included in the analysis. In this cohort, 27 (32.14%) died within 28 days after admission to the intensive care unit (ICU). Comparisons between these two groups show no association between the specifics of the operative procedure with early postoperative death. However, the living situation before hospital admission was shown to be significantly different between those patients who survived and those who died early after postoperative care. We further show an association of early postoperative death with preexisting cardiac diseases, increased creatinine levels, and high Simplified Acute Physiology Score II (SAPS II) upon admission to ICU. Conclusion: The SAPS II score and creatinine level upon admission could be identified as predictors of survival and may be beneficial for risk stratification in the critically ill patient cohort of the very old.
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