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

被引：187

作者：

Flaatten, H. ^{[1
,2
]}

de lange, D. W. ^{[3
]}

Artigas, A. ^{[4
]}

Bin, D. ^{[5
]}

Moreno, R. ^{[6
]}

Christensen, S. ^{[7
]}

Joynt, G. M. ^{[8
,9
]}

Bagshaw, Sean M. ^{[10
]}

Sprung, C. L. ^{[11
]}

Benoit, D. ^{[12
]}

Soares, M. ^{[13
]}

Guidet, B. ^{[14
,15
,16
]}

机构：

[1] Univ Bergen, Haukeland Univ Hosp, ICU, Dept Clin Med, Bergen, Norway

[2] Haukeland Hosp, Dept Anaesthesia & Intens Care, Bergen, Norway

[3] Univ Med Ctr, Dept Intens Care Med, Utrecht, Netherlands

[4] Autonomous Univ Barcelona, Corp Sanitaria Univ Parc Tauli, CIBER Enfermedades Resp, Dept Intens Care Med, Sabadell, Spain

[5] Peking Union Med Coll Hosp, Med ICU, 1 Shuai Fu Yuan, Beijing 100730, Peoples R China

[6] Hosp Sao Jose, Ctr Hosp Lisboa Cent, Unidade Cuidados Intens Neurocrit, Lisbon, Portugal

[7] Aarhus Univ Hosp, Dept Anaesthesia & Intens Care Med, Aarhus, Denmark

[8] Chinese Univ Hong Kong, Dept Anaesthesia & Intens Care, Hong Kong, Hong Kong, Peoples R China

[9] Univ Queensland, Sch Med, Royal Brisbane Clin Sch, Brisbane, Qld, Australia

[10] Univ Alberta, Fac Med & Dent, Dept Crit Care Med, Edmonton, AB, Canada

[11] Hadassah Hebrew Univ, Med Ctr, Dept Anesthesiol & Crit Care Med, Jerusalem, Israel

[12] Ghent Univ Hosp, Dept Intens Care, de Pintelaan 185,2K12IC, Ghent, Belgium

[13] DOr Inst Res & Educ, Dept Crit Care, Rio De Janeiro, Brazil

[14] Hop St Antoine, AP HP, Serv Reanimat Med, F-75012 Paris, France

[15] UPMC Univ Paris 06, Inst Pierre Louis Epidemiol & Sante Publ, Sorbonne Univ, UMR S 1136, F-75013 Paris, France

[16] INSERM, Inst Pierre Louis Epidemiol & Sante Publ, UMR S 1136, F-75013 Paris, France

来源：

INTENSIVE CARE MEDICINE | 2017年 / 43卷 / 09期

关键词：

Octogenarians; Elderly; ICU; Mortality; Frailty; Severity of illness; PATIENTS AGED 80; QUALITY-OF-LIFE; TERM COGNITIVE IMPAIRMENT; ELDERLY-PATIENTS; DECISION-MAKING; HOSPITAL MORTALITY; CRITICAL ILLNESS; UNIT ADMISSION; MULTICENTER; DELIRIUM;

D O I：

10.1007/s00134-017-4718-z

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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.

引用

页码：1319 / 1328

页数：10

共 59 条

[1] Do elderly intensive care unit patients receive less intensive care treatment and have higher mortality? [J].