Citation for published version (APA): de Rooij, S. E. J. A. (2006). Aspects of acute hospital admission in the elderly.

Transcription

1 UvA-DARE (Digital Academic Repository) Aspects of acute hospital admission in the elderly de Rooij, S.E.J.A. Link to publication Citation for published version (APA): de Rooij, S. E. J. A. (2006). Aspects of acute hospital admission in the elderly. General rights It is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulations If you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. UvA-DARE is a service provided by the library of the University of Amsterdam ( Download date: 14 Apr 2019

2 THEE TREE OF MEDICINE r^s]] Dermatology'.X jjülkbssjtj! ; ^ 2 2,, <j thycfttatry tetrks s s* * General l Paöiology y 'Maii MoloOTL Physicss ^ J[ i ^5-

3 Figuree 1. Classification tree to predict mortality before hospital discharc informationn derived from the first 24 hours at ICU. Values in percentc group.. Arced block means mortality risk of > 75 %. (Aspects of Acute Alll patients (n=4578) ) 31.3% % Glasgoww Coma Scale > 6 (n=4282) ) 27.3% % <3a$g< Afterr planned surgery (n=2116) ) 15.3% % I I 244 hours urine L (n=1772) ) 11.8% % 244 hours urine <1.25L L (n=344) ) 33.1% % Bicarbonatee 16.7 mmol/l L (n=295) ) 25.8% % Bicarbonatee 16.7 : :: ::mrnö1/l: : :: : ï:ï:ï:<h=4 j'-:::öx': : : : : : : : : : : :: : 7 : 7;5% : :: : : : : : : : : : Ureass 10 (n=< 42. Noo mech. ventilation att 24 h after admissionn (n=399) 32.8% % Bicarbon mm <n=' 34.

4 !! in patients 80 years and older admitted to the intensive care unit based on ess represent the likelihood of mortality for patients in the respective subtspitaltspital Admission in the Elderly, Chapter 10, SE de Rooij ) tf-gomatf-goma Scale.<? y^^-yyyyyy y^^-yyyyyy y:-i&-2wyyyyyy--y:-i&-2wyyyyyy-- Afterr urgent surgery orr medical admission (n=2166) ) 39.1% % 244 hours urine && 750 ml (n=1835) ) 34.0% % 244 hours urine << 750 ml (n=331) ) 67.1% % mmol/l L '5) ) Urea<< 10.8 mmol/l (n=860) ) 24.1% % SystABPS72 2 mmhg g (n=192) ) 52.0% % SystABI><72 2 mmhg:: : : :(h=139)::: : : : :87-8%: : :: : : : Mech.. ventilation at 244 h after admission (n=576) ) 49.6% % ph (n=75) ) 29.3% % ph.. < 7.35 (n*117) ) 66.6% % e* /L L 6) ) % % Bicarbonatee < 22.6 mmol/l L (n=390) ) 56.9% %

5

6 OF F ACUTEE HOSPITAL ADMISSION N INN THE ELDERLY SOPHIAA E.J.A. DE ROOM

7

8 ASPECTSS OF ACUTE HOSPITAL ADMISSION INN THE ELDERLY ACADEMISCHH PROEFSCHRIFT terr verkrijging van de graad van doctor aann de Universiteit van Amsterdam opp gezag van de Rector Magnificus prof.. mr. P.F. van der Heijden tenn overstaan van een door het college van promoties ingestelde commissie,, in het openbaar te verdedigen in de Aula der Universiteit opp donderdag 5 oktober 2006, te 10 uur door r SophiaSophia Elisabeth Johanna Annemarie de Rooij geborenn te 's-hertogenbosch AspectsAspects of acute hospital admission in the elderly

9 PROMOTIECOMMISSIE: : promotor:: co-promotor:: Prof. dr. M. M. Levi Dr. J. C. Korevaar Dr.. E. de Jonge Dr.. M. J. Schuurmans overigee leden: Prof. dr. P. Eikelenboom Prof.. dr. E.W. Ely Prof.. dr. R. J. de Haan Prof.. dr. M. B. Vroom Prof.. dr. M. Vermeulen Prof.. dr. R. G. J. Westendorp Faculteitt der Geneeskunde Vormgeving:: Grafische Werkkamer, Amsterdam Fotoo omslag: privébezit S.E. de Rooij Gedruktt door: Drukkerij Stetyco, Amsterdam S.E. de Rooij, oktober 2006 Nietss uit deze uitgave mag worden verveelvoudigd en/of openbaar gemaakt door middel van druk, fotokopie, microfilmm of op welke wijze dan ook, zonder voorafgaande schriftelijke toestemming van auteur. Noo part of this book may be reproduced in any form, by print, photoprint, microfilm or by any other mean withoutt written permission from the author. _4. AspectsAspects of acute hospital admission in the elderly