Abstract

to evaluate the clinical outcome of elderly patients admitted to intensive care units who had nosocomial infection, correlating the findings with sociodemographic and clinical variables. descriptive research, performed with 308 elderly patients. The collection was made from medical records and covers the years 2012 to 2015. Uni-/bivariate analyses were performed. a statistical association was found between the clinical outcome types and the variables age, length of stay, presence of previous comorbidities, main diagnosis, respiratory and urinary tract infections, use of central venous and indwelling urinary catheters, mechanical ventilation, and tracheostomy. The survival curve showed higher mortality among the elderly from the age of 80 on. the clinical outcome of the elderly who acquire infection in the intensive care unit is influenced by sociodemographic and clinical variables that increase mortality rates.

Highlights

  • Hospital infections are an important public health problem, especially when they involve the elderly, the group with the highest rates of population growth in most countries[1,2,3]

  • Hospital infection is one of the most serious health risks to the elderly in the intensive care units (ICUs). It is predominant in extremes of age, and related to intrinsic and exogenous factors, such as medical diagnosis, environment, and length of stay, among other variables[4,5]. Research on this topic is still sparse in Latin American literature, which makes it difficult to establish the real situation in terms of prevalence and main sites affected

  • This study aimed to evaluate the clinical outcome of the elderly who had nosocomial infection in intensive care units, correlating the findings with sociodemographic and clinical variables

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Summary

Introduction

Hospital infections are an important public health problem, especially when they involve the elderly, the group with the highest rates of population growth in most countries[1,2,3]. The hospitalization of the elderly has higher importance when these patients’ clinical condition is critical, requiring greater demand for care. Hospital infection is one of the most serious health risks to the elderly in the ICU It is predominant in extremes of age, and related to intrinsic and exogenous factors, such as medical diagnosis, environment, and length of stay, among other variables[4,5]. Research on this topic is still sparse in Latin American literature, which makes it difficult to establish the real situation in terms of prevalence and main sites affected. The combination of these factors influences the patient’s stay in the ICU, being determinant for the outcome of hospitalization or the clinical outcome (discharge)(6-7)

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