Meeting complex multidimensional needs in older patients and their families during and beyond critical illness

被引:0
作者
Santangelo, Erminio [1 ]
Wozniak, Hannah [2 ]
Herridge, Margaret S. [1 ]
机构
[1] Univ Toronto, Interdept Div Crit Care Med, Toronto, ON, Canada
[2] Univ Geneva, Geneva Univ Hosp, Fac Med, Dept Acute Med, Geneva, Switzerland
关键词
cognitive dysfunction; critical illness; delirium; geriatric syndrome; intensive care; INTENSIVE-CARE-UNIT; TERM COGNITIVE IMPAIRMENT; ACUTE RESPIRATORY-FAILURE; ONE-YEAR OUTCOMES; MECHANICAL VENTILATION; DEPRESSIVE SYMPTOMS; PHYSICAL-THERAPY; ILL PATIENTS; ICU; FRAILTY;
D O I
10.1097/MCC.0000000000001188
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Purpose of reviewTo highlight the emerging crisis of critically ill elderly patients and review the unique burden of multidimensional morbidity faced by these patients and caregivers and potential interventions.Recent findingsPhysical, psychological, and cognitive sequelae after critical illness are frequent, durable, and robust across the international ICU outcome literature. Elderly patients are more vulnerable to the multisystem sequelae of critical illness and its treatment and the resultant multidimensional morbidity may be profound, chronic, and significantly affect functional independence, transition to the community, and quality of life for patients and families. Recent data reinforce the importance of baseline functional status, health trajectory, and chronic illness as key determinants of long-term functional disability after ICU. These risks are even more pronounced in older patients.SummaryThe current article is an overview of the outcomes of older survivors of critical illness, putative interventions to mitigate the long-term morbidity of patients, and the consequences for families and caregivers. A multimodal longitudinal approach designed to follow patients for one or more years may foster a better understanding of multidimensional morbidity faced by vulnerable older patients and families and provides a detailed understanding of recovery trajectories in this unique population to optimize outcome, goals of care directives, and ongoing informed consent to ICU treatment.
引用
收藏
页码:479 / 486
页数:8
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