European Journal of Molecular & Clinical Medicine

Abstract

Aim: To study the clinico-etiologic profile of the critically ill geriatric patients admitted to the MICU.
Materials and Methods: The present prospective observational study was conducted on 100 patients of age 60 years and above with dysfunction of at least two organ systems, admitted in medical intensive care unit of Dr DY Patil Medical College Hospital and Research Centre, Pimpri, Pune during the period from OCTOBER 2020– SEPTEMBER 2022. When determining the severity of a critical disease, the SOFA score system is utilized, and this evaluation takes place both upon admission and after 48 hours have passed.
Results: Majority of the male and female patients were in the age group 60-69 years followed by 70-79 years and >80 years. The mean TLC is 18069.0 (SD ±9690.35441), mean CRP is 39.76176 (SD ±7.00), mean ESR is 20.82028 (SD ±11.00) and the mean urea is 45.70459(SD ±20.00). The mean direct bilirubin is 3.11292±5.22386, mean ALT is 218.0900±364.13262, mean AST is 185.7400±336.44123, mean ALP is 167.5500±101.13980, mean INR is 1.6261±0.63524 and the mean APTT is 33.9960±9.44580. Majority of the patients were having myocardial infarction (23%) followed by Cirrhosis Liver (18%), chronic kidney disease (17%), Pneumonia (12%), Ischemic Stroke (10%), Hemorrhagic Stroke (6%) and 3% in Bacterial Meningitis & Pyelonephritis. The mean SOFA score at admission and 48 hours were 5.73 ±3.36 and 6.2 ± 4.06 respectively. The mean value of Delta SOFA score was 0.47±3.00.