Older age, aggressiveness of care, and survival for seriously ill, hospitalized adults

Annals of Internal Medicine

Volumn 131, Issue 10, 1999, Pages 721-728

  Hamel, Mary Beth ^e   Davis, Roger B ^e   Teno, Joan M ^e   Knaus, William A ^a   Lynn, Joanne ^b   Harrell Jr , Frank ^a   Galanos, Anthony N ^c   Wu, Albert W ^d   Phillips, Russell S ^e  

^a UNIVERSITY OF VIRGINIA   (United States)

^b Center to Improve Care of the Dying   (United States)

^c DUKE UNIVERSITY MEDICAL CENTER   (United States)

^d JOHNS HOPKINS UNIVERSITY   (United States)

^e NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGE; AGED; ARTICLE; FEMALE; GERIATRIC CARE; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MORTALITY; PRIORITY JOURNAL; SENESCENCE; SURVIVAL RATE; SURVIVAL TIME; TERMINAL DISEASE; TERMINALLY ILL PATIENT;

EID: 0032731449     PISSN: 00034819     EISSN: None     Source Type: Journal    
DOI: 10.7326/0003-4819-131-10-199911160-00002     Document Type: Article

References (33)

1. Hamel MB, Phillips RS, Teno JM. Lynn J. Galanos AN, Davis RB, et al. Seriously ill hospitalized adults: do we spend less on older patients? SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment. J Am Geriatr Soc. 1996;44:1043-8.
2. Hamel M, Teno JM, Goldman L, Lynn J, Davis RB, Galanos AN, et al. Patient age and decisions to withhold life-sustaining treatments for seriously ill, hospitalized adults. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment. Ann Intern Med. 1999;130:116-25.
3. Knaus WA, Wagner DP, Draper EA, Zimmerman JE, Bergner M, Bastos PG, et al. The APACHE III prognostic system. Risk prediction of hospital mortality for critically ill hospitalized adults. Chest. 1991;100:1619-36.
4. Iezzoni LI, ed. Risk Adjustment for Measuring Health Care Outcomes. Ann Arbor: Health Administration Pr; 1994.
5. Goldman L, Caldera DL, Nussbaum SR, Southwick FS, Krogstad D, Murray B, et al. Multifactorial index of cardiac risk in noncardiac surgical procedures. N Engl J Med. 1977;297:845-50.
6. Weintraub WS, Craver JM, Cohen CL, Jones EL, Guyton RA. Influence of age on results of coronary artery surgery. Circulation. 1991;84 Suppl 3:226-35.
7. Lynn J, Knaus WA. Background for SUPPORT. J Clin Epidemiol. 1990;43 Suppl:1S-4S.
8. A controlled trial to improve care for seriously ill hospitalized patients. The Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT). The SUPPORT Principal Investigators. JAMA. 1995; 274:1541-8.
9. Cullen DJ. Therapeutic intervention scoring system: a method for quantitative comparison of patient care. Crit Care Med. 1985;13:818-29.
10. Keene AR, Cullen DJ. Therapeutic Intervention Scoring System: update 1983. Crit Care Med. 1983;11:1-3.
11. Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. JAMA. 1963;185:914-9.
12. Landefeld CS, Phillips RS, Bergner M. Patient characteristics in SUPPORT: functional status. J Clin Epidemiol. 1990;43 Suppl:37S-9S.
13. Hlatky M, Boineau RE, Higginbotham MB, Lee KL, Mark DB, Califf RM, et al. A brief self-administered questionnaire to determine functional capacity (the Duke Activity Status Index). Am J Cardiol. 1989;64:651-4.
14. Phillips RS, Goldman L, Bergner M. Patient characteristics in SUPPORT: activity status and cognitive function. J Clin Epidemiol. 1990;43 Suppl:33S-6S.
15. Knaus WA, Harrell FE Jr, Lynn J, Goldman L, Phillips RS, Connors AF Jr, et al. The SUPPORT prognostic model. Objective estimates of survival for seriously ill hospitalized adults. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments. Ann Intern Med. 1996;122:191-203.
16. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974;2:81-4.
17. Hakim RB. Teno JM, Harrell FE Jr, Knaus WA, Wenger N, Phillips RS, et al. Factors associated with do-not-resuscitate orders: patients' preferences, prognoses, and physicians' judgments. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment. Ann intern Med. 1996;125:284-93.
18. Wu AW, Rubin HR, Rosen MJ. Are elderly people less responsive to intensive care? J Am Geriatr Soc. 1990;38:621-7.
19. Fedullo AJ, Swinburne AJ. Relationship of patient age to cost and survival in a medical ICU. Crit Care Med. 1983;11:155-9.
20. Chelluri L. Pinsky MR, Donahoe MP, Grenvik A. Long-term outcome of critically ill elderly patients requiring intensive care. JAMA. 1993;269:3119-23.
21. Chalfin DB, Carlon GC. Age and utilization of intensive care unit resources of critically ill cancer patients. Crit Care Med. 1990;18:694-8.
22. Layon AJ, George BE, Hamby B, Gallagher TJ. Do elderly patients over-utilize healthcare resources and benefit less from them than younger patients? A study of patients who underwent craniotomy for the treatment of neoplasm. Crit Care Med. 1995;23:829-34.
23. Krumholz HM, Forman DE, Kuntz RE, Baim DS, Wei JY. Coronary revascularization after myocardial infarction in the very elderly: outcomes and long-term follow-up. Ann Intern Med. 1993;119:1084-90.
24. Glower DD, Christopher TD, Milano CA. White WD, Smith LR, Jones RH, et al. Performance status and outcome after coronary artery bypass grafting in persons aged 80 to 93. Am J Cardiol. 1992;70:567-71.
25. Yarzebski J, Goldberg RJ, Gore JM, Alpert JS. Temporal trends and factors associated with pulmonary artery catheterization in patients with acute myocardial infarction. Chest. 1994;105:1003-8.
26. Gurwitz JH, Osganian V, Goldberg RJ, Chen ZY, Gore JM, Alpert JS. Diagnostic testing in acute myocardial infarction: does patient age influence utilization patterns? The Worcester Heart Attack Study. Am J Epidemiol. 1991;134:948-57.
27. Bearden DM, Allman RM, Sundarum SV, Burst NM, Bartolucci AA. Age-related variability in the use of cardiovascular imaging procedures. J Am Geriatr Soc. 1993;41:1075-82.
28. Rosenthal GE, Fortinsky RH. Differences in the treatment of patients with acute myocardial infarction according to age. J Am Geriatr Soc. 1994;42:826-32.
29. Fleming C D'Agostino RB, Selker HP. Is coronary-care-unit admission restricted for elderly patients? A multicenter study. Am J Public Health. 1991; 81:1121-6.
30. Hanson LC, Danis M. Use of life-sustaining care for the elderly. J Am Geriatr Soc. 1991;39:772-7.
31. Greenfield S, Blanco DM, Elashoff RM, Ganz PA. Patterns of care related to age of breast cancer patients. JAMA. 1987;257:2766-70.
32. Montague TJ, Ikuta RM, Wong RY, Bay KS, Teo KK, Davies NJ. Comparison of risk and patterns of practice in patients older and younger than 70 years of age with acute myocardial infarction in a two-year period (1987-1989). Am J Cardiol. 1991;68:843-7.
33. Gordon M, Hurowitz E. Cardiopulmonary resuscitation of the elderly. J Am Geriatr Soc. 1984;32:930-4.