Mortality and morbidity of young adult admitted in intensive care
Keywords:
young adult, mortality, intensive care unit.Abstract
Introduction: The young adult population is considered to be age groups up to 35 years of age, others indicate the age between 20 and 40 years.Objectives: Determine the mortality and morbidity of young adults admitted to the intensive care unit.
Methods: Observational, descriptive, cross-sectional study in a series of 623 patients. The variables studied were: age, sex, type of admission, APACHE II upon admission, mechanical ventilation, length of stay, mortality and direct cause of death. The statistical methods used were frequency distributions, measures of central tendency, and inferential chi-square and Student's t tests. The 5% level of significance was considered.
Results: The age group 19-29 years (53.9%) and the male sex (64.7%) predominated. The male/female sex ratio was 1.8:1.0. 75.9% of the patients were discharged alive. The clinical type admission was awarded the largest number of patients (45.1%). The mean APACHE II value was higher in the deceased (18.9 vs. 7.6). 54.1% of the patients did not receive mechanical ventilation. The average stay was longer in those who died (10.5 vs. 6.5 days) and the main cause of death was bacterial bronchopneumonia (22.2%).
Conclusions: Young adults in intensive care are more likely to evolve satisfactorily and be discharged alive. The main cause of death is bacterial bronchopneumonia.
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References
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4. Papalia DE, Olds Wendkos S, Feldman Duskin R. Desarrollo físico y cognoscitivo en la adultez emergente y adultez temprana. En: Mares Chacón J, Delgado Rodríguez AL (editores). Desarrollo Humano. 11ma ed. México: Editorial McGraw-Hill; 2009. [acceso: 29/01/2022]. p. 420-78. Disponible en: https://www.moodle.utecv.esiaz.ipn.mx/pluginfile.php/29205/mod-_resource/content/1/libro-desarrollo-humano-papalia.pdf
5. Sandoval Mora SA. Psicología del Desarrollo Humano II. 1ra edición. México, Culiacán: Servicios editoriales Once Ríos; 2018.
6. Ministerio de Salud Pública. Dirección de Registros médicos y estadísticas de Salud. Anuario estadístico de salud 2021. La Habana: Editorial Ciencias Médicas; 2022. [acceso: 27/03/2021]. Disponible en: https://files.sld.cu/dne/files/2022/10/Anuario-Estadístico-de-Salud-2021.-Ed-2022.pdf
7. Pérez Díaz J. Demografía y envejecimiento. Informes Portal Mayores nº 51. Lecciones de Gerontología I. Madrid: Portal Mayores; 2006. [acceso: 29/04/2022]. Disponible en: https://digital.csic.es/bitstream/10261/5120/1/Perez2006a.pdf
8. Guillén Llera F, Bravo Fernández de Araoz G. Patología del envejecimiento. Indicadores de salud. En: Salgado Alba A, Guillén Llera F, Ruipérez I, editores. Manual de Geriatría. 3ª ed. Barcelona: Masson; 2002. p. 77-88.
9. Ipaneque G. Factores de riesgo a enfermedades cardiovasculares en el adulto joven del centro de salud de Tablazo norte i-2. La unión, marzo 2020 [Tesis de Licenciatura en Enfermería]. Perú, Piura: Universidad Nacional de Piura. 2020 [acceso: 29/01/2022]. Disponible en: https://repositorio.unp.edu.pe/bitstream/handle/20.500.12676/2411/ENFE-IPA-LOZ-2020.pdf?sequence=1&isAllowed=y
10. Magboul SM, Osman B, Elnour AA. The incidence, risk factors, and outcomes of acute kidney injury in the intensive care unit in Sudan. Int J Clin Pharm. 2020 [acceso: 29/01/2022]; 42(6):1447-55. DOI: 10.1007/s11096-020-01147-5
11. Betancourt Betancourt G, Betancourt Reyes G. Caracterización de la adecuación del esfuerzo terapéutico en las unidades de atención al adulto grave, hospital "Manuel Ascunce Domenech". Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta. 2020 [acceso: 21/03/2022]; 45(6):[aprox. 9 p.]. Disponible en: http://revzoilomarinello.sld.cu/index.php/zmv/article/view/2265
12. Martins GS, Toledo SV, Andrade JML, Nakano EY, Valduga R, Paz LPDS, et al. Analysis of functional status and muscle strength in adults and older adults in an intensive care unit: a prospective cohort study. Cien Saude Colet. 2021 [acceso: 29/01/2022]; 26(7):2899-910. DOI: 10.1590/1413-81232021267.21422019
13. Engebretsen S, Bogstrand ST, Jacobsen D, Rimstad R. Characteristics, management and outcome of critically ill general medical patients in the Emergency Department: An observational study. Int Emerg Nurs. 2021 [acceso: 29/01/2022]; 54:100939. DOI: 10.1016/j.ienj.2020.100939
14. Chiang YT, Lin TH, Hu RH, Lee PC, Shih HC. Predicting factors for major trauma patient mortality analyzed from trauma registry system. Asian J Surg. 2021 [acceso: 29/01/2022]; 44(1):262-8. DOI: 10.1016/j.asjsur.2020.06.014
15. Gulati A, Choudhuri R, Gupta A, Singh S, Ali SKN, Sidhu GK, et al. A Multicentric, Randomized, Controlled Phase III Study of Centhaquine (Lyfaquin®) as a Resuscitative Agent in Hypovolemic Shock Patients. Drugs. 2021 ; 81(9):1079-100. DOI: 10.1007/s40265-021-01547-5
16. Kaydu A, Orhun G, Çakar N. Relationship between arterial oxygen tension and mortality of patients in intensive care unit on mechanical ventilation support. Ulus Travma Acil Cerrahi Derg. 2019; 25(4):331-7. DOI: 10.5505/tjtes.2018.51430
17. Brakenridge SC, Efron PA, Stortz JA, Ozrazgat-Baslanti T, Ghita G, Wang Z, et al. The impact of age on the innate immune response and outcomes after severe sepsis/septic shock in trauma and surgical intensive care unit patients. J Trauma Acute Care Surg. 2018; 85(2):247-55. DOI: 10.1097/TA.0000000000001921
18. Ruiz C, Vega E, Barrera G, Ramos JP, Mimica X, Lisbona ML, et al. Atención de los pacientes con trauma grave durante los primeros días: evolución entre la urgencia, el pabellón y la unidad de cuidados intensivos. Rev Med Chil. 2019; 147(10):1256-65. DOI: 10.4067/s0034-98872019001001256
19. Goswami J, Balwani MR, Kute V, Gumber M, Patel M, Godhani U. Scoring systems and outcome of chronic kidney disease patients admitted in intensive care units. Saudi J Kidney Dis Transpl. 2018; 29(2):310-7. DOI: 10.4103/1319-2442.229268
20. He Q, Wang W, Zhu S, Wang M, Kang Y, Zhang R, et al. The epidemiology and clinical outcomes of ventilator-associated events among 20,769 mechanically ventilated patients at intensive care units: an observational study. Crit Care. 2021; 25(1):44. DOI: 10.1186/s13054-021-03484-x
21. Keskin K, Çetinkal G, Yıldız SS, Sığırcı S, Doğan GM, Orta Kılıçkesmez K. Clinical characteristics and intermediate-term outcomes of young patients with uncomplicated myopericarditis. Turk Kardiyol Dern Ars. 2019; 47(7):581-6. DOI: 10.5543/tkda.2019.63306
22. García Gómez A, Verde Martínez D, Fernández Castillo E, Pradere Pensado JC, Nistal Mena J. Caracterización del paciente con intervención neuroquirúrgica en cuidados intensivos. Rev Cub Med Inten Emerg. 2020 [acceso: 27/01/2023]; 19(4):e766. Disponible en: http://www.revmie.sld.cu/index.php/mie/article/view/766
23. García Gómez G, Martínez Pérez K, Agüero Carbonell Y, Pradere Pensado JC, Leal Capdesuñer O. Caracterización de pacientes con antecedentes de alcoholismo crónico en una unidad de cuidados intensivos. Rev Cub Med Milit. 2020 [acceso: 27/01/2023]; 49(3):e0200532. Disponible en: http://www.revmedmilitar.sld.cu/index.php/mil/article/view/532
24. García Gómez A, Cárdenas Más O, Sanabria Blanco OL, Luejes García TH, Adelá RivesY. Morbilidad y mortalidad de pacientes de la cuarta edad en la unidad de cuidados intensivos. Rev Cub Med Milit. 2020 [acceso: 29/01/2022]; 49(4):e0200768. Disponible en: http://www.revmedmilitar.sld.cu/index.php/mil/article/view/768
Published
2023-12-04
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García Gómez A, Machado Rosales YR, Leal Capdesuñer O, Sanabria Blanco OL, García Álvarez PJ, Fernández Castillo E, et al. Mortality and morbidity of young adult admitted in intensive care. Rev Cubana Med Milit [Internet]. 2023 Dec. 4 [cited 2025 Apr. 2];52(4):e02302891. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2891
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