The Simplified Acute Physiology Score III Is Superior to the Simplified Acute Physiology Score II and Acute Physiology and Chronic Health Evaluation II in Predicting Surgical and ICU Mortality in the “Oldest Old”
Table 2
Demographics and clinical characteristics for 89 nonagenarians admitted to the surgical ICU between 2000 and 2010.
Overall
Mortality group
Survivor group
Total patients, (%)
89
14 (16)
75 (84)
Mean age, years (range)
93.2 (91–100)
92.8 (91–96)
93.2 (91–100)
Male : female
1 : 1.02
1 : 1.1
1 : 1.06
Comorbidities, (%)
CHF
34 (38)
7 (50)
27 (36)
Hypertension
31 (35)
3 (21)
28 (37)
Atrial fibrillation
26 (29)
4 (29)
22 (29)
CAD
19 (21)
2 (14)
17 (23)
ASA grade, (%)
I
0
0
0
II
18 (25)
0 (0.0)
18 (24)
III
36 (49)
3 (21)
33 (44)
IV
18 (25)
2 (14)
16 (21)
V
2 (3)
2 (14)
0
Type of anesthesia, (%)
General anesthesia
66 (74)
13 (93)
53 (71)
Cardiac anesthesia
9 (10)
1 (7)
8 (11)
Regional anesthesia
7 (8)
0
7 (9)
MAC
7 (8)
0
7 (9)
Types of procedures, (%)
General surgery
34 (38)
10 (71)
24 (32)
Orthopedic surgery
12 (14)
0
12 (16)
Cardiac surgery
9 (10)
1 (7)
8 (11)
Urologic surgery
8 (9)
0
8 (11)
Neurosurgery
7 (8)
1 (7)
6 (8)
Vascular surgery
6 (7)
2 (14)
4 (5)
Invasive procedures*
13 (15)
0
13 (17)
Mean operative time, min ± SD
Mean ICU stay, days ± SD
Mean length of hospital stay, days ± SD
Discharge status, (%)
Nursing facility
30 (34)
—
30 (40)
Home without assisted living
29 (33)
—
29 (39)
Cancer center
8 (9)
—
8 (11)
Rehabilitation center
4 (4)
—
4 (5)
: number of patients, CHF: congestive cardiac failure, CAD: coronary artery disease, ASA: American Society of Anesthesiologists, MAC: managed anesthesia care, min: minutes, SD: standard deviation, ICU: intensive care unit. Invasive procedures included endoscopy, cystoscopy, and biopsy.
