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

作者: H. Flaatten , D. W. de Lange , A. Artigas , D. Bin , R. Moreno

DOI: 10.1007/S00134-017-4718-Z

关键词:

摘要: The “very old intensive care patients” (abbreviated to VOPs; greater than 80 years old) are probably the fastest expanding subgroup of all unit (ICU) patients. Up until recently most ICU physicians have been reluctant admit these VOPs. general consensus was that there little survival gain and incremental life expectancy admission considered too small. Several publications questioned this belief, but others confirmed poor long-term mortality rates in More appropriate triage (resource limitation enforced decisions), decisions based on shared decision-making improved prediction models also needed for particular patient group. Here, an expert panel proposes a research agenda VOPs coming years.

参考文章(60)
Kees J. Kalisvaart, Jos F. M. De Jonghe, Marja J. Bogaards, Ralph Vreeswijk, Toine C. G. Egberts, Bart J. Burger, Piet Eikelenboom, Willem A. Van Gool, Haloperidol prophylaxis for elderly hip-surgery patients at risk for delirium: a randomized placebo-controlled study. Journal of the American Geriatrics Society. ,vol. 53, pp. 1658- 1666 ,(2005) , 10.1111/J.1532-5415.2005.53503.X
Ariane Boumendil, Derek C. Angus, Anne-Laure Guitonneau, Anne-Marie Menn, Christine Ginsburg, Khalil Takun, Alain Davido, Rafik Masmoudi, Benoît Doumenc, Dominique Pateron, Maité Garrouste-Orgeas, Dominique Somme, Tabassome Simon, Philippe Aegerter, Bertrand Guidet, , Variability of Intensive Care Admission Decisions for the Very Elderly PLoS ONE. ,vol. 7, pp. e34387- ,(2012) , 10.1371/JOURNAL.PONE.0034387
An Zeng, Xiaowei Song, Jiahui Dong, Arnold Mitnitski, Jian Liu, Zhenhui Guo, Kenneth Rockwood, Mortality in Relation to Frailty in Patients Admitted to a Specialized Geriatric Intensive Care Unit Journals of Gerontology Series A-biological Sciences and Medical Sciences. ,vol. 70, pp. 1586- 1594 ,(2015) , 10.1093/GERONA/GLV084
Annemarie B. Docherty, Niall H. Anderson, Timothy S. Walsh, Nazir I. Lone, Equity of Access to Critical Care Among Elderly Patients in Scotland: A National Cohort Study* Critical Care Medicine. ,vol. 44, pp. 3- 13 ,(2016) , 10.1097/CCM.0000000000001377
Zouheir Bitar, Ossama Maadarani, Khaled Almerri, Sonographic chest B-lines anticipate elevated B-type natriuretic peptide level, irrespective of ejection fraction Annals of Intensive Care. ,vol. 5, pp. 56- 56 ,(2015) , 10.1186/S13613-015-0100-X
Pratik P. Pandharipande, Timothy D. Girard, James C. Jackson, Alessandro Morandi, Jennifer L. Thompson, Brenda T. Pun, Nathan E. Brummel, Christopher G. Hughes, Eduard E. Vasilevskis, Ayumi K. Shintani, Karel G. Moons, Sunil K. Geevarghese, Angelo Canonico, Ramona O. Hopkins, Gordon R. Bernard, Robert S. Dittus, E. W. Ely, Long-Term Cognitive Impairment After Critical Illness Survey of Anesthesiology. ,vol. 58, pp. 212- 213 ,(2014) , 10.1097/SA.0000000000000071
Junghyun Kim, Sun Mi Choi, Young Sik Park, Chang-Hoon Lee, Sang-Min Lee, Jae-Joon Yim, Chul-Gyu Yoo, Young Whan Kim, Sung Koo Han, Jinwoo Lee, Factors influencing the initiation of intensive care in elderly patients and their families: A retrospective cohort study. Palliative Medicine. ,vol. 30, pp. 789- 799 ,(2016) , 10.1177/0269216316634241
Julien Le Guen, Ariane Boumendil, Bertrand Guidet, Aline Corvol, Olivier Saint-Jean, Dominique Somme, Are elderly patients' opinions sought before admission to an intensive care unit? Results of the ICE-CUB study Age and Ageing. ,vol. 45, pp. 303- 309 ,(2016) , 10.1093/AGEING/AFV191
Jill I Cameron, Leslie M Chu, Andrea Matte, George Tomlinson, Linda Chan, Claire Thomas, Jan O Friedrich, Sangeeta Mehta, Francois Lamontagne, Melanie Levasseur, Niall D Ferguson, Neill KJ Adhikari, Jill C Rudkowski, Hilary Meggison, Yoanna Skrobik, John Flannery, Mark Bayley, Jane Batt, Claudia dos Santos, Susan E Abbey, Adrienne Tan, Vincent Lo, Sunita Mathur, Matteo Parotto, Denise Morris, Linda Flockhart, Eddy Fan, Christie M Lee, M Elizabeth Wilcox, Najib Ayas, Karen Choong, Robert Fowler, Damon C Scales, Tasnim Sinuff, Brian H Cuthbertson, Louise Rose, Priscila Robles, Stacey Burns, Marcelo Cypel, Lianne Singer, Cecilia Chaparro, Chung-Wai Chow, Shaf Keshavjee, Laurent Brochard, Paul Hébert, Arthur S Slutsky, John C Marshall, Deborah Cook, Margaret S Herridge, None, One-Year Outcomes in Caregivers of Critically Ill Patients The New England Journal of Medicine. ,vol. 374, pp. 1831- 1841 ,(2016) , 10.1056/NEJMOA1511160
Ian M Ball, Sean M Bagshaw, Karen EA Burns, Deborah J Cook, Andrew G Day, Peter M Dodek, Demetrios J Kutsogiannis, Sangeeta Mehta, John G Muscedere, Henry T Stelfox, Alexis F Turgeon, George A Wells, Ian G Stiell, None, A clinical prediction tool for hospital mortality in critically ill elderly patients. Journal of Critical Care. ,vol. 35, pp. 206- 212 ,(2016) , 10.1016/J.JCRC.2016.05.026