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Critical Care

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Open Access 01-08-2005 | Research

Factors that predict outcome of intensive care treatment in very elderly patients: a review

Authors: Sophia E de Rooij, Ameen Abu-Hanna, Marcel Levi, Evert de Jonge

Published in: Critical Care | Issue 4/2005

Abstract

Introduction

Advanced age is thought to be associated with increased mortality in critically ill patients. This report reviews available data on factors that determine outcome, on the value of prognostic models, and on preferences regarding life-sustaining treatments in (very) elderly intensive care unit (ICU) patients.

Methods

We searched the Medline database (January 1966 to January 2005) for English language articles. Selected articles were cross-checked for other relevant publications.

Results

Mortality rates are higher in elderly ICU patients than in younger patients. However, it is not age per se but associated factors, such as severity of illness and premorbid functional status, that appear to be responsible for the poorer prognosis. Patients' preferences regarding life-sustaining treatments are importantly influenced by the likelihood of a beneficial outcome. Commonly used prognostic models have not been calibrated for use in the very elderly. Furthermore, they do not address long-term survival and functional outcome.

Conclusion

We advocate the development of new prognostic models, validated in elderly ICU patients, that predict not only survival but also functional and cognitive status after discharge. Such a model may support informed decision making with respect to patients' preferences.

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Title: Factors that predict outcome of intensive care treatment in very elderly patients: a review
Authors: Sophia E de Rooij
Ameen Abu-Hanna
Marcel Levi
Evert de Jonge
Publication date: 01-08-2005
Publisher: BioMed Central
Published in: Critical Care / Issue 4/2005
Electronic ISSN: 1364-8535
DOI: https://doi.org/10.1186/cc3536

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Factors that predict outcome of intensive care treatment in very elderly patients: a review

Abstract

Introduction

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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