Caring for the critically ill patients over 80 : a narrative review
Guidet, Bertrand (Institute Pierre Louis d'Épidémiologie et de Santé Publique)
Vallet, Helene (Hôpital Pitié salpêtrière)
Boddaert, Jacques (Hôpital Pitié salpêtrière)
De Lange, Dylan W.. (University Utrecht)
Morandi, Alessandro (Geriatric Research Group)
Leblanc, Guillaume (Université Laval)
Artigas Raventós, Antoni (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Flaatten, Hans (University of Bergen)
Universitat Autònoma de Barcelona

Date:	2018
Abstract:	There is currently no international recommendation for the admission or treatment of the critically ill older patients over 80 years of age in the intensive care unit (ICU), and there is no valid prognostic severity score that includes specific geriatric assessments. In this review, we report recent literature focusing on older critically ill patients in order to help physicians in the multiple-step decision-making process. It is unclear under what conditions older patients may benefit from ICU admission. Consequently, there is a wide variation in triage practices, treatment intensity levels, end-of-life practices, discharge practices and frequency of geriatrician's involvement among institutions and clinicians. In this review, we discuss important steps in caring for critically ill older patients, from the triage to long-term outcome, with a focus on specific conditions in the very old patients. According to previous considerations, we provide an algorithm presented as a guide to aid in the decision-making process for the caring of the critically ill older patients. The online version of this article (10. 1186/s13613-018-0458-7) contains supplementary material, which is available to authorized users.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Published in:	Annals of Intensive Care, Vol. 8 (november 2018) , ISSN 2110-5820

DOI: 10.1186/s13613-018-0458-7
PMID: 30478708

15 p, 2.3 MB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Parc Taulí Research and Innovation Institute (I3PT
Articles > Research articles
Articles > Published articles