Crit Care: Elderly weakness, delirium and hospitalization mortality in intensive care units.

Weakness is considered an important determining factor in the prognosis of patients in older people in intensive care.
is also common in patients with acute delirium, but the relationship between weakness and an increased risk of death is not yet clear.
recently, a study published in the journal Critical Care, an authoritative journal in critical care medicine, explores the relationship between clinical weakness, delirium and hospital mortality in the elderly in intensive care.
The study was part of a baseline study of mascology in intensive care, during the first six months of the baseline, the researchers analyzed clinical weakness, acute delirium attacks, intensive care outcomes, and length of hospitalization for adults 50 years of age or older in intensive care.
997 patients aged 50 or over were included in the study over a six-month baseline period.
the average age of the subjects was 71 years (IQR was 63-79);
among these patients, 39.2% (95% CI was 36.1-42.3%, n=396) had a clinical weakness score (CFS) of 5 or more, and 13.0% (n=127) had at least one acute delirium attack.
risk of delirium seizures was higher in patients with weakness (17% vs. 10%, with an adjusted ratio ratio (adjRR) of 1.71,95% confidence interval (CI) of 1.20-2.43, p-0.003), longer hospital stays (2.6 days, 95% confidence interval 1-7 days, p-0.009), higher risk of hospitalization mortality (19% vs. 7%, adjRR=2.54, 95% CI 1.72-3.75, p<0.001), compared to non-debilitating patients.
35 percent in patients who were weak in the ICU and experienced an acute attack of delirium, and 10 percent in patients who also experienced delirium in the ICU.
result, weakness and delirium significantly increase the risk of hospital death in ICU patients.
, identifying frail patients is particularly important and it is necessary to take measures to reduce the risk of adverse events such as delirium in the ICU.
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