Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicin

Background: Elderly patients are a significant and increasing proportion of ICU patients. With advancing age, the comorbidities critically ill elderly patients have substantial mortality. The early recognition of patients at high risk of mortality is needed to plan care in advance and to control healthcare costs.Aim of the work: The aim of the current work is to predict the risk factors of intensive care unit mortality in critically ill elderly patients {u2265}65 years oldwith special emphasis on age as a predictor of poor outcome. Methodology: This is a retrospective cohort historical studyiscarried out for one year from January 2015 to January 2016 at the intensive care unit .The ICU serves critically ill patients from medical, surgical, Obstetric& Gynecology, neurosurgical and emergency departements.A total 800 consecutive patients were included .We are aiming to finding out the admission clinical and laboratory predictors of mortality using MPM II score in critically ill elderly patients admitted to ICUwith special emphasis on age as a predictor of poor outcome. Results: Our findings suggest that anemia,thrombocytopenia , CPR prior to admission, vasopressor infusion, mechanichal ventilation were the independent risk factors associated with raised mortality in elderly patients

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