Intensive care requirements for an ageing population - A microcosm of problems facing the NHS?

Clinical Medicine, Journal of the Royal College of Physicians of London

Volumn 4, Issue 3, 2004, Pages 263-266

  Sparkes, David J ^a   Smith, Gary B ^a,b   Prytherch, David ^b  

^a PORTSMOUTH HOSPITALS NHS TRUST   (United Kingdom)

^b UNIVERSITY OF PORTSMOUTH   (United Kingdom)

Author keywords

Age; Demand; Elderly; Intensive care

Indexed keywords

AGE; AGED; AGING; ARTICLE; CONFIDENCE INTERVAL; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; MICROCOSM; NATIONAL HEALTH SERVICE; POPULATION; SCORING SYSTEM;

EID: 3042769295     PISSN: 14702118     EISSN: None     Source Type: Journal    
DOI: 10.7861/clinmedicine.4-3-263     Document Type: Article

References (20)

1. Office for National Statistics National Population Projections 1996. London: Stationary Office, 1999.
2. Miller RD. Anaesthesia for the elderly. In: Miller RD (ed) Anaesthesia, second edition. New York: Churchill Livingstone, 1986.
3. Nicolas F, Le Gall JR, Aiperovitch A, Loirat P, Villers D. Influence of patient's age on survival, level of therapy and length of stay in intensive care units. Intensive Care Med 1987;13:9-13.
4. Knaus, WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: A severity of disease classification system. Crit Care Med 1985;13:818-29.
5. Parker A, Wyatt R, Ridley S. Intensive care services; a crisis of increasing expressed demand. Anaesthesia 1998;53:113-20.
6. Klopfenstein CE, Herrmann FR, Michel JP, Clergue F, Forster A. The influence of an ageing surgical population on the anaesthesia workload: a ten- year survey. Anesth Analg 1998;86:1165-70.
7. Age Concern England. Turning your back on us. Older people and the NHS. London: Age Concern, 2000.
8. Department of Health. National Service Framework for Older People. London: DH, 2001.
9. Decisions relating to cardiopulmonary resuscitation. A joint Statement from the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing, 2000.
10. Bowling A. Ageism in cardiology. BMJ 1999;319:1353-5.
11. Munro PT, Smith RD, Parke TJ. Effect of patient's age on management of acute intracranial haematoma: prospective national study. BMJ 2002;325;1001-3.
12. Mulkerrin EC. Rationing renal replacement therapy to older patients - agreed guidelines are needed. QJM 2000;93:253-5.
13. Hamel MB, Teno JM, Goldman L et al. Patient Age and Decisions to withhold life-sustaining treatments from seriously ill hospitalised adults. Ann Intern Med 1999;130:116-24.
14. Nuckton TJ, List D. Age as a factor in critical care unit admissions. Arch Intern Med 1995;155:1087-92.
15. Wu AW, Haya RR, Rosen MJ. Are elderly people less responsive to intensive care? J Am Geriatr Soc 1990;38:621-7.
16. Dyaiani G, Ridley S. Outcome of intensive care in the elderly. Anaesthesia 1997;52:1130-6.
17. Van Den Noortgate N. Intensive care of the very elderly patients: outcome and risk factors for in-hospital mortality. Age Ageing 1999; 28:253-6.
18. Chelluri L. Intensive care for the critically ill elderly; mortality, costs and quality of life. Arch Intern Med 1995;155:1013-22.
19. Lyons RA, Wareham K, Hutchings AH, Major E, Ferguson B. Population requirement for adult critical-care beds: a prospective quantitative and qualitative study. Lancet 2000;355:595-8.
20. Department of Health. Comprehensive critical care: a review of adult critical care services. London: DH, 2000.