Reasons for admission of elderly people in reanimation in the Gabriel Touré teaching hospital of Bamako

INTRODUCTION: Reanimation consists of the taking care of patients of all ages presenting or likely to present one or more acute failures directly affecting their likelihood of survival. According to the Society of Reanimation of the French Languages in 2012, in the United States 50% of the patients admitted in reanimation have more than 65 years whereas in France, the patients older than 80 years represent more than 10% of the admissions of the intensive care units. OBJECTIF: Etait de determiner les motifs d'admissions des personnes âgees en reanimation du centre hospitalier universitaire Gabriel Toure. PATIENTS AND METHOD: A cross-sectional study was conducted from October 2010 to September 2011 in the Gabriel Toure teaching hospital of Bamako. Patients aged 65 year old and up were included. All patients were the subject of a meticulous clinical examination. Data graphing was done using Excel. The analysis of the data was made on the SPSS 17.0 software. The statistical test used was Chi2 with a significance fixed to P = 0, 05. RESULTATS: Pendant la periode d'etude 95 personnes âgees ont ete colligees sur 501 admissions soit une frequence de 18,9 %. La tranche d'âge de 65 a 74 ans etait la plus representee avec 63,3%. Le sex-ratio etait de 1,4 en faveur des hommes. L'alteration de la conscience etait le principal motif d'admission dans 65,3% des cas. L'accident vasculaire cerebral etait la pathologie medicale la plus rencontree avec 40,7% des cas. Le facteur pronostique le plus marque etait la survenue des complications. CONCLUSION: The most common admission factors were mental deterioration, respiratory distress syndrome. The prognosis is conservative considering the patients' old age, medical pathology, and a Glasgow score inferior to 8 at the time of admission.