The status of intensive care medicine research and a future agenda for very old patients in the ICU

The “very old intensive care patients” (abbreviated to VOPs; greater than 80 years old) are probably the fastest expanding subgroup of all intensive care unit (ICU) patients. Up until recently most ICU physicians have been reluctant to admit these VOPs. The general consensus was that there was littl...

Celý popis

Uložené v:
Podrobná bibliografia
Vydané v:Intensive care medicine Ročník 43; číslo 9; s. 1319 - 1328
Hlavní autori: Flaatten, H., de Lange, D. W., Artigas, A., Bin, D., Moreno, R., Christensen, S., Joynt, G. M., Bagshaw, Sean M., Sprung, C. L., Benoit, D., Soares, M., Guidet, B.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Berlin/Heidelberg Springer Berlin Heidelberg 01.09.2017
Springer
Springer Nature B.V
Springer Verlag
Predmet:
Age Factors
Aged
Aged, 80 and over
Anesthesiology
Biomedical Research
Cognitive Dysfunction - complications
Critical Care - organization & administration
Critical Care Medicine
Decision making
Decisions
Dexmedetomidine
Documents
Eastern Europe
Emergency Medicine
Epidemiologic Studies
Frailty - complications
France
Health aspects
Hospital Mortality
Hospital patients
Humans
Intensive
Intensive care
Intensive Care Units - standards
Intensive Care Units - statistics & numerical data
Length of Stay
Life expectancy
Life Sciences
Life span
Medical colleges
Medicine
Medicine & Public Health
Mortality
Norway
Outcome and Process Assessment, Health Care
Pain Medicine
Patient Admission - statistics & numerical data
Patients
Pediatrics
Physicians
Pneumology/Respiratory System
Quality of Life
Review
Severity of Illness Index
Triage - methods
Washington, D.C
France
Eastern Europe
Norway
Washington, D.C
Frailty
Octogenarians
ICU
Severity of illness
Elderly
Mortality
ISSN:0342-4642, 1432-1238, 1432-1238
On-line prístup:Získať plný text
Tagy: Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
Popis
Shrnutí:The “very old intensive care patients” (abbreviated to VOPs; greater than 80 years old) are probably the fastest expanding subgroup of all intensive care unit (ICU) patients. Up until recently most ICU physicians have been reluctant to admit these VOPs. The general consensus was that there was little survival to gain and the incremental life expectancy of ICU admission was considered too small. Several publications have questioned this belief, but others have confirmed the poor long-term mortality rates in VOPs. More appropriate triage (resource limitation enforced decisions), admission decisions based on shared decision-making and improved prediction models are also needed for this particular patient group. Here, an expert panel proposes a research agenda for VOPs for the coming years.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
ObjectType-Review-3
content type line 23
ISSN:0342-4642
1432-1238
1432-1238
DOI:10.1007/s00134-017-4718-z