NON-TRADITIONAL MORTALITY PREDICTORS FOR GERIATRIC INTENSIVE CARE UNIT PATIENTS

Devrim BOZKURT; Aslı KILAVUZ; Namig Caferov; Timur KÖSE; Selahattin Fehmi AKÇİÇEK

doi:10.31086/tjgeri.2018344046

NON-TRADITIONAL MORTALITY PREDICTORS FOR GERIATRIC INTENSIVE CARE UNIT PATIENTS

Articles > Article · 2018

Authors: Devrim BOZKURT, Aslı KILAVUZ, Namig Caferov, Timur KÖSE, Selahattin Fehmi AKÇİÇEK

TURKISH JOURNAL OF GERIATRICS-TURK GERIATRI DERGISI, Journal Indexed in SCI Expanded, International, 2018, vol 21, pp 323-332

DOI: 10.31086/tjgeri.2018344046

Summary

Introduction: There is an increased number of elderly patients in intensive care units.Decreased physiological reserve and frailty makes them more vulnerable to illnesses.Materials and Method: Geriatric intensive care unit patients (n=1093), who had nohistory of malignancy and chemotherapy with hospitalised more than 3 days were examinedretrospectively. Clinical and laboratory values on admission and at the final, discharge or dead,were recorded. Non traditional mortality predictors neutrophil,to,lymphocyte count (NLR) andmean platelet volume (MPV), and timely changes of these parameters were examined.Results: Readily measurable and effective markers foreseeing outcome are vitalimportance. In this retrospective cohort, we showed that neutrophil-to-lymphocyte count(NLR) and mean platelet volume (MPV) are independent mortality predictors in geriatricpatients. In addition timely changed NLR and MPV were also independent mortality predictors[0.41 (95% CI 0.30-0.55) p<0.001 and 0.43 (95% CI 0.31-0.59) p<0.001, respectively].Conclusions: These easily measurable and cheap parameters can be good patient followupparameters in geriatrics patients who have increased mortality due to cardiovascular andsepsis related diseases.

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