2Istanbul Medipol University Mega Hospitals Complex, Department of Anesthesiology and Reanimation, Istanbul, Turkey
3Recep Tayyip Erdogan University Faculty of Medicine, Department of Anesthesiology and Reanimation, Rize, Turkey
4Private OFM Antalya Hospital, General Intensive Care Unit, Antalya, Turkey
5Biruni University Faculty of Medicine, Department of Anesthesiology and Reanimation, Istanbul, Turkey
6Sakarya University Faculty of Medicine, Anesthesiology and Intensive Care Unit, Sakarya, Turkey
7Private Corlu Vatan Hospital, General Intensive Care Unit, Tekirdag, Turkey
8Van Yuzuncu Yil University Faculty of Medicine, Department of General Surgery, Van, Turkey
9Van Yuzuncu Yil University Faculty of Medicine, Department of Neurology, Van, Turkey
10Hatay Mustafa Kemal University Tayfur Ata Sokmen Faculty of Medicine, Department of Anesthesiology and Reanimation, Hatay, Turkey
11Van Yuzuncu Yil University Faculty of Medicine, Department of Cardiology, Van, Turkey
12Kutahya Health Sciences University Evliya Celebi Training and Research Hospital, Internal Medicine Critical Care Unit, Kutahya, Turkey
13Gaziantep Provincial Directorate of Health Gaziantep Sehitkamil State Hospital, General Intensive Care Unit, Gaziantep, Turkey
14Harran University Faculty of Medicine, Department of Anesthesiology and Reanimation, Sanliurfa, Turkey
15Izmir Katip Celebi University Ataturk Training and Research Hospital, Internal Medicine Critical Care Unit, Izmir, Turkey
16Van Health Sciences University Van Training and Research Hospital, Anesthesiology Intensive Care Unit, Van, Turkey
17Van Yuzuncu Yil University Faculty of Medicine, Department of Biostatistics, Van, Turkey
18Kahramanmaras Sutcu Imam University Faculty of Medicine, Department of Anesthesiology and Reanimation, Kahramanmaras, Turkey DOI : 10.31086/tjgeri.2020.188 Objectives: The definition of chronic critical illness in the elderly has not yet been determined. The aim of the study is to determine the prevalence and clinical features of chronic critical illness in the elderly population in Turkey.
Materials and Methods: Data from 16 intensive care units of public and private hospitals in Turkey were evaluated. Patients staying in the intensive care units for at least eight days between 2015 and 2017 and having at least one of the additional criteria were accepted as chronic critical illness and they were divided into two groups by age, those 65 and older and those under 65.
Results: The chronic critical illness patient rate in the intensive care units was 10.7%. Of chronic critical illness patients in the intensive care units, 60.9% were 65 years of age and older, and the mortality rate of patients 65 years and older was 70%. The frequencies of ischemic stroke and sepsis, the number of patients with comorbidities, and the mortality rate were higher in patients over 65 years of age, while the frequency of traumatic brain injury, presence of a major wound, tracheostomy, length of hospital stay and cost of care were higher in patients under 65 years of age.
Conclusion: We determined that prolonged mechanical ventilation, traumatic brain injury, tracheostomy and major wound presence in intensive care units patients 65 years and older increased hospital stay and costs. More work is needed to define chronic critical illness more clearly in elderly.
Keywords : Chronic Disease; Critical Illness; Intensive Care Unit; Aged; Turkey