PDF(Pubmed)
Abstract：
OBJECTIVE: The aging society is expanding, and more elderly patients are admitted to intensive care units (ICUs). Elderly patients may have increased ICU mortality and are thought to have a high incidence of post-intensive care syndrome (PICS). There are few studies of PICS in the elderly. This study hypothesized that the elderly have an increased incidence of PICS compared to the non-elderly.
METHODS: This is a subgroup analysis of a previous multicenter prospective observational study (Prevalence of post-intensive care syndrome among Japanese intensive care unit patients: The Japan-PICS study) conducted from April 2019 to September 2019. Ninety-six patients were included who were over 18 years old, admitted to the ICU, and expected to require mechanical ventilation for more than 48 hours. Physical component scales (PCS), mental component scales (MCS), and Short-Memory Questionnaire (SMQ) scores of included patients were compared before admission to the ICU and six months later. The diagnosis of PICS required one of the following: (1) the PCS score decreased ≧10 points, (2) the MCS score decreased ≧10 points, or (3) the SMQ score decreased by >40 points. Patients were classified as non-elderly (<65 years old) or elderly (≧65 years old), and the incidence of PICS was compared between these two groups.
RESULTS: The non-elderly (N=27) and elderly (N=69) groups had incidences of PICS: 67% and 62% (p=0.69), respectively.
CONCLUSIONS: There is no statistically significant difference in the incidence of PICS in the non-elderly and elderly.
METHODS: This is a subgroup analysis of a previous multicenter prospective observational study (Prevalence of post-intensive care syndrome among Japanese intensive care unit patients: The Japan-PICS study) conducted from April 2019 to September 2019. Ninety-six patients were included who were over 18 years old, admitted to the ICU, and expected to require mechanical ventilation for more than 48 hours. Physical component scales (PCS), mental component scales (MCS), and Short-Memory Questionnaire (SMQ) scores of included patients were compared before admission to the ICU and six months later. The diagnosis of PICS required one of the following: (1) the PCS score decreased ≧10 points, (2) the MCS score decreased ≧10 points, or (3) the SMQ score decreased by >40 points. Patients were classified as non-elderly (<65 years old) or elderly (≧65 years old), and the incidence of PICS was compared between these two groups.
RESULTS: The non-elderly (N=27) and elderly (N=69) groups had incidences of PICS: 67% and 62% (p=0.69), respectively.
CONCLUSIONS: There is no statistically significant difference in the incidence of PICS in the non-elderly and elderly.
摘要：
目标：老龄化社会正在扩大，更多的老年患者被送往重症监护病房(ICU)。老年患者的ICU死亡率可能会增加，并且被认为是重症监护后综合征（PICS）的高发病率。关于老年人PICS的研究很少。这项研究假设，与非老年人相比，老年人的PICS发病率增加。
方法：这是对2019年4月至2019年9月进行的先前多中心前瞻性观察性研究（日本重症监护病房患者中重症监护后综合征的患病率：日本-PICS研究）的亚组分析。包括96名18岁以上的患者，入住ICU,预计需要机械通气超过48小时。物理元件刻度(PCS),心理分量量表(MCS)，比较纳入患者入住ICU前和6个月后的短期记忆问卷(SMQ)评分。PICS的诊断需要以下之一：（1）PCS评分下降≥10分，(2)MCS评分下降≥10分,或(3)SMQ得分下降>40分。患者分为非老年人（<65岁）或老年人（≥65岁），并比较两组的PICS发生率.
结果：非老年人（N=27）和老年人（N=69）组的PICS发生率分别为67％和62％（p=0.69），分别。
结论：非老年人和老年人的PICS发生率无统计学差异。
方法：这是对2019年4月至2019年9月进行的先前多中心前瞻性观察性研究（日本重症监护病房患者中重症监护后综合征的患病率：日本-PICS研究）的亚组分析。包括96名18岁以上的患者，入住ICU,预计需要机械通气超过48小时。物理元件刻度(PCS),心理分量量表(MCS)，比较纳入患者入住ICU前和6个月后的短期记忆问卷(SMQ)评分。PICS的诊断需要以下之一：（1）PCS评分下降≥10分，(2)MCS评分下降≥10分,或(3)SMQ得分下降>40分。患者分为非老年人（<65岁）或老年人（≥65岁），并比较两组的PICS发生率.
结果：非老年人（N=27）和老年人（N=69）组的PICS发生率分别为67％和62％（p=0.69），分别。
结论：非老年人和老年人的PICS发生率无统计学差异。
