Background: Elderly patients have continuously been admitted into intensive care. Ageing comes with its peculiarities and health challenges and outcomes. With the current focus on elder-friendly initiatives, it is necessary to examine the outcome of elders who are admitted into the intensive care unit. The information gained will be useful in policy and planning. Method: This retrospective, single cohort study collected data from all patients aged 60 years and older admitted into the intensive care unit of the University of Benin between January 2021 and December 2023 (3 years) were extracted and reviewed. Results: There were 195 admissions with a mean age of 70 years. About half (51.8%) of the patients admitted were males. Hypertension was the most common comorbidity (6.2%) followed by diabetes coexisting with hypertension (5.1%). Most of the elderly patients were admitted for sepsis within the review period (19.5%), followed by craniotomies (19.0%). The length of stay ranged from 1 to 63 days with the majority staying between 1 to 6 days while 39.0% were mechanically ventilated. The mortality rate was 66.7% (130/195). Conclusion: Most of the patients in the review period had hypertension and diabetes as comorbidities. Sepsis, post post-operative care, and post-cardiac arrest care were the main reasons for patient admission into the Intensive Care Unit. Prevention and early management of Various Causes of Cardiac Arrest Are Recommended.