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

Flaatten, H., de Lange, D. W., Artigas, A., Bin, D., Moreno, R., Christensen, S., Joynt, G. M., Bagshaw, S. M., Sprung, C. L., Benoit, D., Soares, M. and Guidet, B. (2017) The status of intensive care medicine research and a future agenda for very old patients in the ICU. Intensive Care Medicine, 1-10. doi:10.1007/s00134-017-4718-z


Author Flaatten, H.
de Lange, D. W.
Artigas, A.
Bin, D.
Moreno, R.
Christensen, S.
Joynt, G. M.
Bagshaw, S. M.
Sprung, C. L.
Benoit, D.
Soares, M.
Guidet, B.
Title The status of intensive care medicine research and a future agenda for very old patients in the ICU
Journal name Intensive Care Medicine   Check publisher's open access policy
ISSN 1432-1238
0342-4642
Publication date 2017-02-25
Sub-type Article (original research)
DOI 10.1007/s00134-017-4718-z
Open Access Status Not yet assessed
Start page 1
End page 10
Total pages 10
Place of publication Heidelberg, Germany
Publisher Springer
Collection year 2018
Language eng
Abstract 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.
Keyword Elderly
Frailty
ICU
Mortality
Octogenarians
Severity of illness
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
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