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...

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Vydáno v:	Intensive care medicine Ročník 43; číslo 9; s. 1319 - 1328
Hlavní autoři:	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:	angličtina
Vydáno:	Berlin/Heidelberg Springer Berlin Heidelberg 01.09.2017 Springer Springer Nature B.V Springer Verlag
Témata:	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 přístup:	Získat plný text
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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.
Bibliografie:	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