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

H Flaatten; D W de Lange; A Artigas; D Bin; R Moreno; S Christensen; G M Joynt; Sean M Bagshaw; C L Sprung; D Benoit; M Soares; B Guidet

doi:10.1007/s00134-017-4718-z

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

H Flaatten, D W de Lange, A Artigas, D Bin, R Moreno, S Christensen, G M Joynt, Sean M Bagshaw, C L Sprung, D Benoit, M Soares, B Guidet

Intensive Care Medicine

Research output: Contribution to journal › Article › Academic › peer-review

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.

Original language	English
Pages (from-to)	1319-1328
Number of pages	10
Journal	Intensive Care Medicine
Volume	43
Issue number	9
Early online date	25 Feb 2017
DOIs	https://doi.org/10.1007/s00134-017-4718-z
Publication status	Published - Sept 2017

Keywords

Elderly
Frailty
ICU
Mortality
Octogenarians
Severity of illness

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Cite this

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AU - Flaatten, H

AU - de Lange, D W

AU - Artigas, A

AU - Bin, D

AU - Moreno, R

AU - Christensen, S

AU - Joynt, G M

AU - Bagshaw, Sean M

AU - Sprung, C L

AU - Benoit, D

AU - Soares, M

AU - Guidet, B

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KW - Elderly

KW - Frailty

KW - ICU

KW - Mortality

KW - Octogenarians

KW - Severity of illness

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

Abstract

Keywords

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