Research Article

Prolonged Length of Stay in the Emergency Department and Mortality in Critically Ill Elderly Patients with Infections: A Retrospective Multicenter Study

Table 2

Baseline characteristics of critically ill elderly patients with infection.

CharacteristicAll (n = 439)Nonsurvivor (n = 132)Survivor (n = 307) value

Age (years) (IQR)78 (73–83)79 (73–82.5)78 (73–83)0.996
Gender, male, n (%)222 (50.6)71 (53.8)151 (49.2)0.376

Comorbidities, n (%)
Diabetes mellitus176 (40.1)56 (42.4)120 (39.1)0.513
Hypertension264 (60.1)81 (61.4)183 (59.6)0.731
Chronic renal disease64 (14.6)19 (14.4)45 (14.7)0.943
Cardiovascular disease54 (12.3)17 (12.9)37 (12.1)0.809
Malignancy72 (16.4)39 (29.5)33 (10.7)<0.001

Initial vital signs
Systolic BP (mmHg)120.5 (98–141)114 (93.5–136.5)122 (98–146)0.036
Diastolic BP (mmHg)70 (57–80)66 (54–80)70 (54.5–80)0.603
Heart rate (beats/min)96 (80–112)96 (80–111)96 (84–118)0.578
Respiratory rate (breaths/min)20 (20–24)20 (18–22)20 (20–24)0.067
Body temperature (°C)36.8 (36.2–37.9)36.9 (36.2–37.9)36.8 (36.3–37.9)0.545
KTAS level (1, 2), n (%)182 (41.5)56 (42.4)126 (40.0)0.788

Laboratory results, median (IQR)
WBC count (109/L)11.6 (7.9–18.2)11.6 (7.6–18.4)11.5 (7.8–17.0)0.542
Platelets207.0 (145.0–291.0)175.5 (113.0–263.5)214.0 (156.0–299.5)0.007
Total bilirubin0.8 (0.5–1.3)1.0 (0.6–1.5)0.8 (0.5–1.2)0.022
Albumin3.2 (2.7–3.6)3.0 (2.6–3.4)3.2 (2.7–3.6)<0.001
Lactate1.9 (1.2–3.4)2.3 (1.5–4.3)1.7 (1.2–2.8)<0.001
SOFA score6 (4–9)8 (5–11)5 (3–8)<0.001
Septic shock, n (%)123 (28.0)59 (44.7)64 (20.8)<0.001
Door-to-antibiotic time (min)188 (138–272)174 (131–261)194 (143–275)0.140
Vasopressor at ED, n (%)184 (41.9)83 (62.9)101 (32.9)<0.001
Ventilator at ED, n (%)155 (35.3)66 (50.0)89 (29.0)<0.001
ED LOS (hours)8.0 (5.0–19.0)9.0 (5.1–28.4)8.0 (5.0–16.5)0.023
ICU LOS (days)6.0 (3.0–12.0)7.5 (4.0–14.0)6.0 (3.0–12.0)0.050
Hospital LOS (days)16.0 (9.0–28.0)13.5 (6.0–24.0)17.0 (10.0–29.0)0.002

BP: blood pressure; KTAS: Korean Triage and Acuity Scale; WBC: white blood cell; SOFA: Sequential Organ Failure Assessment; ED: emergency department; LOS: length of stay; ICU: intensive care unit.