Table will
appear on the Web site: Distribution of surgical procedures and frequency of
main type of surgery according to age group.
Surgical procedures and main types
|
Patients < 60 yrs n = 167 |
Patients 60 – 75 yrs n = 133 |
Patients > 75 yrs n = 106 |
P value |
Orthopedic Hip
Spine
Femur
|
44 (26%) 14% 34% 34% |
33 (25%) 70% 18% 3% |
26 (24%) 61% 11% 4% |
NS |
Thoracic Lung resection
|
13 (8%) 61% |
19 (14%) 95% |
5 (5%) 40% |
0.04 |
Vascular
Abdominal aortic
aneurysm
Arterial bypass (aorto-iliac or
femoral; femoropopliteal) |
12 (7%) 42% 42% |
23 (17%) 61% 22% |
24 (23%) 21% 54% |
0.001 |
Digestive Colorectal
Gastrointestinal
Esophagectomy
|
30 (18%) 30% 30% 10% |
30 (23%) 40% 17% 13% |
39 (37%) 49% 39% 2% |
<0.0001 |
Urinary Nephrectomy
Cystectomy/Prostatectomy
|
11 (7%) 45% 3% |
20 (15%) 15% 40% |
10 (9%) 60% 10% |
NS |
E.N.T. |
7 (4%) |
6 (4%) |
2 (2%) |
NS |
Obstetric/Gynecologic |
31 (18%) |
0 |
0 |
<0.0001 |
Multiple trauma |
19 (11%) |
2 (1%) |
0 |
<0.0001 |
Table will
appear on the Web site. Main diagnostic categories leading to ICU admission*.
Diagnosis
|
Patients < 60 yr
n, (%)
|
Patients 60 - 75 yr
n, (%)
|
Patients > 75 yr n, (%) |
Total n, (%) |
Respiratory insufficiency after surgery |
42, (25.0) |
44, (33.0) |
35, (33.0) |
121, (30.0) |
ARDS |
7, (4.0) |
9, (7.0) |
0 |
16, (4.0) |
Aspiration pneumonia |
4, (2.0) |
0 |
2, (2.0) |
6, (1.5) |
Trauma |
44, (26.0) |
4, (3.0) |
3, (3.0) |
51, (12.5) |
Peritonitis |
10, (6.0) |
15, (11.0) |
14, (13.0) |
39, (10.0) |
Bacterial pneumonia |
2, (1.0) |
5, (4.0) |
2, (2.0) |
9, (2.0) |
Cholangitis |
1 (0.5) |
0 |
5, (5.0) |
6, (1.5) |
Other infections |
1 (0.5) |
2, (1.5) |
1, (1.0) |
4, (1.0) |
Hemorrhagic shock or syndrome |
13, (8.0) |
12, (9.0) |
6, (6.0) |
31, (7.5) |
GI bleeding |
3, (2.0) |
5, (4.0) |
8, (7.5) |
16, (4.0) |
Undetermined shock |
5, (3.0) |
10, (7.5) |
10, (9.0) |
25, (6.0) |
Anaphylactic shock |
2, (1.0) |
2, (1.5) |
0 |
4, (1.0) |
Cardiogenic shock or heart failure |
3, (2.0%) |
10, (7.5) |
7, (6.5) |
20, (5.0) |
Other cardiac conditions |
3, (2.0) |
1, (1.0) |
4, (4.0) |
8, (2.0) |
Renal diseases |
5, (3.0) |
3, (2.0) |
2, (2.0) |
10, (2.5) |
Pyelonephritis |
2, (1.0) |
1, (1.0) |
1, (1.0) |
4, (1.0) |
Neurologic disorders |
6, (4.0) |
3, (2.0) |
1, (1.0) |
10, (2.5) |
GI perforation/obstruction |
4, (2.0) |
1, (1.0) |
3, (3.0) |
8, (2.0) |
Pancreatitis |
3, (2.0) |
4, (3.0) |
0 |
7, (2.0) |
Table 3 (cont.) |
|
|
|
|
Stab wound |
5, (3.0) |
1, (1.0) |
0 |
6, (1 .5) |
Miscellaneous |
2, (1) |
1, (1.0) |
2, (2.0) |
5, (1.0= |
*
Diagnoses were unevenly distributed between the 3 groups of patients
(p<0.005).
Table will
appear on the Web site: Distribution of microorganisms between older and
younger infected patients*.
Microorganisms |
Patients < 60 yr 54 infections 63 microorganisms |
Patients 60
-75 yr 98 infections 114 microorganisms |
Patients > 75 yr 40 infections 53 microorganisms |
Gram positive cocci- species |
24 (38.0%) |
31 (27.0%) |
15 (28.0%) |
Staphylococcus aureus
- number of methicillin-resistant |
6 (10%) 2 |
14 (12.0%) 10 |
6 (11.0%) 3 |
Coagulase-negative staphylococci |
11 |
7 |
5 |
Enterococcus species |
6 |
4 |
3 |
Other Gram positive cocci sp. |
1 |
6 |
1 |
Gram-negative bacilli species |
36 (57%) |
70 (61.0%) |
32 (60.0%) |
Escherichia coli
|
7 (11.0%) |
16 (14.0%) |
10 (19.0%) |
Klebsiella sp. |
3 |
5 |
3 |
Proteus mirabilis
|
1 |
7 |
1 |
Enterobacter cloacae
|
3 |
2 |
2 |
Other
Enterobacteriaceae - number of ESBL
Enterobacteriaceae |
7 3 |
6 2 |
6 2 |
Pseudomonas aeruginosa
- number of ticarcillin-resistant |
9 (14.0%) 5 |
17 (15.0%) 9 |
8 (15.0%) 3 |
Acinetobacter baumanii
- number of ticarcillin-resistant |
0 - |
7 6 |
0 - |
Other Gram-negative bacilli. |
6 |
10 |
2 |
Anaerobic pathogens |
0 |
3 |
0 |
Candida
spp |
4 (6.0%) |
10 (9.0%) |
6 (11.0%) |
* No significant
differences in the frequency distribution of the various microorganisms
isolated, or emergence of resistant bacteria were observed between the three
groups. ESBL: extended-spectrum b-lactamase;