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Intensive Care Medicine
Published in: Intensive Care Medicine 5/2020

01-05-2020 | Editorial

Focus on the frail and elderly: who should have a trial of ICU treatment?

Authors: Otavio T. Ranzani, Bruno A. M. P. Besen, Margaret S. Herridge

Published in: Intensive Care Medicine | Issue 5/2020

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Excerpt

Very old intensive care patients (VIPs ≥ 80 years of age) are vulnerable. They may deteriorate and develop multiple organ dysfunction rapidly, before having clarified their explicit goals of care to their caretakers and without an understanding of longer term patient-centered outcomes [1‐3]. Intensive care unit (ICU) admission of such patients ‘just for monitoring’ may culminate in clinical deterioration before determination of the direction of future care. VIPs are subject to different triage practices across ICUs [1, 2, 4]. This underscores the need to determine which VIP might benefit from ICU admission and how such decisions may be informed by patient preferences and societal preferences for elderly and ageing patients [1, 2, 5, 6]. …
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Metadata
Title
Focus on the frail and elderly: who should have a trial of ICU treatment?
Authors
Otavio T. Ranzani
Bruno A. M. P. Besen
Margaret S. Herridge
Publication date
01-05-2020
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 5/2020
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-020-05963-1

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