The status of intensive care medicine research and a future agenda for very old patients in the ICU
| Autor: | R. Moreno, Gavin M. Joynt, Sean M. Bagshaw, Marcio Soares, Hans Flaatten, Antonio Artigas, Steffen Christensen, Dominique Benoit, Du Bin, Charles L. Sprung, Bertrand Guidet, Dylan W. de Lange |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
TERM COGNITIVE IMPAIRMENT
Biomedical Research HSJ UCI Cognitive Dysfunction/complications Review DECISION-MAKING Critical Care and Intensive Care Medicine Triage/methods Severity of Illness Index law.invention 0302 clinical medicine Patient Admission Elderly QUALITY-OF-LIFE law 030212 general & internal medicine Hospital Mortality MULTICENTER COHORT ELDERLY-PATIENTS Aged 80 and over Frailty Mortality rate PATIENTS AGED 80 Age Factors Intensive care unit Intensive Care Units Outcome and Process Assessment Health Care Intensive Care Units/statistics & numerical data Medical emergency CRITICALLY-ILL PATIENTS medicine.medical_specialty Octogenarians Critical Care Patient Admission/statistics & numerical data Severity of illness 03 medical and health sciences Quality of life (healthcare) Anesthesiology Intensive care medicine Journal Article Humans Cognitive Dysfunction Mortality Intensive care medicine Aged business.industry 030208 emergency & critical care medicine UNIT ADMISSION Length of Stay Outcome and Process Assessment (Health Care) medicine.disease Triage Critical Care/organization & administration Epidemiologic Studies Intensive Care Units/standards Frailty/complications ICU Life expectancy Quality of Life CRITICAL ILLNESS business |
| Zdroj: | Intensive Care Medicine, 43(9), 1319. Springer Verlag Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação instacron:RCAAP 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 2017, ' The status of intensive care medicine research and a future agenda for very old patients in the ICU ', Intensive Care Medicine, vol. 43, no. 9, pp. 1319-1328 . https://doi.org/10.1007/s00134-017-4718-z |
| ISSN: | 0342-4642 |
| DOI: | 10.1007/s00134-017-4718-z |
| Popis: | 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. info:eu-repo/semantics/publishedVersion |
| Databáze: | OpenAIRE |
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