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dc.contributor.authorDuke, Graeme Jen
dc.contributor.authorBarker, Annaen
dc.contributor.authorKnott, Cameron Ien
dc.contributor.authorSantamaria, John Den
dc.date.accessioned2015-05-16T01:48:44Z
dc.date.available2015-05-16T01:48:44Z
dc.date.issued2014-04-07en
dc.identifier.citationMedical Journal of Australia; 200(6): 323-6en
dc.identifier.govdoc24702089en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/12161en
dc.description.abstractOBJECTIVE To assess trends in service use and outcome of critically ill older people (aged ≥ 65 years) admitted to an intensive care unit (ICU).Retrospective cohort analysis of administrative data on older patients discharged from ICUs at all 23 adult public hospitals with onsite ICUs in Victoria between 1 July 1999 and 30 June 2011. Subgroups examined included those aged ≥ 80 years, major diagnosis categories, and those receiving mechanical ventilation.Resource use and hospital survival; also length of stay (LOS) and discharge destination trends.Over 12 years, 108,171 people aged ≥ 65 years were admitted to ICUs; of these, 49,912 (46.1%) received mechanical ventilation and 17,772 (16.4%) died. Despite an increase in the older age population (2.5% per annum) and acute care admissions (7.3% per annum) over the period studied, there was a net reversal in prevalence trends for ICU admissions (- 1.7% per annum; P = 0.04) and admissions of patients requiring mechanical ventilation (- 1.6% per annum) in the 8 years since 2004. Annual risk-adjusted mortality fell (odds ratio, 0.97 per year; 95% CI, 0.96-0.97 per year; P < 0.001) without prolongation of hospital or ICU LOS (P = 0.49) or discharge to residential aged care (RAC). Similar trends were noted in all a priori subgroups.Improved hospital survival without an increase in demand for ICU admission or RAC or an increase in LOS suggests there has been improvement in the care of the older age population.en
dc.language.isoenen
dc.subject.otherAgeden
dc.subject.otherAged, 80 and overen
dc.subject.otherCohort Studiesen
dc.subject.otherCritical Illness.therapyen
dc.subject.otherHospital Mortalityen
dc.subject.otherHumansen
dc.subject.otherIntensive Care.statistics & numerical data.utilizationen
dc.subject.otherIntensive Care Units.statistics & numerical data.utilizationen
dc.subject.otherLength of Stay.statistics & numerical dataen
dc.subject.otherLogistic Modelsen
dc.subject.otherOdds Ratioen
dc.subject.otherOutcome Assessment (Health Care)en
dc.subject.otherPatient Discharge.statistics & numerical dataen
dc.subject.otherRespiration, Artificial.statistics & numerical data.utilizationen
dc.subject.otherRetrospective Studiesen
dc.subject.otherVictoriaen
dc.titleOutcomes of older people receiving intensive care in Victoria.en
dc.typeJournal Articleen
dc.identifier.journaltitleMedical Journal of Australiaen
dc.identifier.affiliationSt Vincents Hospital Melbourne, Melbourne, VIC, Australiaen
dc.identifier.affiliationgraeme.duke@easternhealth.org.au.en
dc.identifier.affiliationBox Hill Hospital, Melbourne, VIC, Australiaen
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australia, Australiaen
dc.identifier.affiliationCentre of Research Execllence in Patient Safety, Monash University, Melbourne, VIC, Australiaen
dc.description.pages323-6en
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/24702089en
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