Variability of intensive care admission decisions for the very elderly

PLoS ONE

Volumn 7, Issue 4, 2012, Pages

  Boumendil, Ariane ^a,b,c   Angus, Derek C ^d   Guitonneau, Anne Laure ^e   Menn, Anne Marie ^f   Ginsburg, Christine ^g   Takun, Khalil ^g   Davido, Alain ^h   Masmoudi, Rafik ^h   Doumenc, Benoît ⁱ   Pateron, Dominique ^j   Garrouste Orgeas, Maité ^k   Somme, Dominique ^h   Simon, Tabassome ^b,j   Aegerter, Philippe ^c,l   Guidet, Bertrand ^a,b,j  

^a INSERM   (France)

^b SORBONNE UNIVERSITÉ   (France)

^c Île de France Ouest University Paris   (France)

^d UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

^e BICHAT HOSPITAL   (France)

^f CENTRE HOSPITALIER VICTOR DUPOUY   (France)

^g Saint Joseph Hospital Network ^*  (France)

^h HÔPITAL EUROPÉEN GEORGES POMPIDOU   (France)

ⁱ BICÊTRE HOSPITAL   (France)

^j ASSISTANCE PUBLIQUE HÔPITAUX DE PARIS   (France)

^k SAINT JOSEPH HOSPITAL   (France)

^l HÔPITAL AMBROISE PARÉ   (France)

more..

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; COHORT ANALYSIS; DETERIORATION; EMERGENCY WARD; FEMALE; FOLLOW UP; FUNCTIONAL STATUS; HOSPITAL ADMISSION; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL DECISION MAKING; MORTALITY; OBSERVATIONAL STUDY; OUTCOME ASSESSMENT; PROSPECTIVE STUDY; VERY ELDERLY; DECISION MAKING; EMERGENCY HEALTH SERVICE; STATISTICS;

AGED, 80 AND OVER; DECISION MAKING; EMERGENCY MEDICAL SERVICES; FEMALE; HUMANS; INTENSIVE CARE UNITS; MALE; PATIENT ADMISSION; TRIAGE;

EID: 84859708087     PISSN: None     EISSN: 19326203     Source Type: Journal    
DOI: 10.1371/journal.pone.0034387     Document Type: Article

References (42)

1. Wilson DM, Thurston A, Lichlyter B, (2010) Should the oldest-old be admitted to the intensive care unit and receive advanced life-supporting care? Crit Care Med 38: 303-304 doi:10.1097/CCM.0b013e3181b4a263.
2. Nguyen Y-L, Angus DC, Boumendil A, Guidet B, (2011) The challenge of admitting the very elderly to intensive care. Ann Intensive Care 1: 29 doi:10.1186/2110-5820-1-29.
3. Azoulay E, Pochard F, Chevret S, Vinsonneau C, Garrouste M, et al. (2001) Compliance with triage to intensive care recommendations. Crit Care Med 29: 2132-2136.
4. Frisho-Lima P, Gurman G, Schapira A, Porath A, (1994) Rationing critical care - what happens to patients who are not admitted? Theor Surg 9: 208-211.
5. Joynt GM, Gomersall CD, Tan P, Lee A, Cheng CA, et al. (2001) Prospective evaluation of patients refused admission to an intensive care unit: triage, futility and outcome. Intensive Care Med 27: 1459-1465 doi:10.1007/s001340101041.
6. Sprung CL, Eidelman, (1997) Triage decisions for intensive care in terminally ill patients. Intensive Care Med 23: 1011-1014.
7. Molloy DW, Guyatt GH, Alemayehu E, McIlroy W, Willan A, et al. (1991) Factors affecting physicians' decisions on caring for an incompetent elderly patient: an international study. CMAJ 145: 947-952.
8. Nuckton TJ, List ND, (1995) Age as a factor in critical care unit admissions. Arch Intern Med 155: 1087-1092.
9. Cook DJ, Guyatt GH, Jaeschke R, Reeve J, Spanier A, et al. (1995) Determinants in Canadian health care workers of the decision to withdraw life support from the critically ill. Canadian Critical Care Trials Group. JAMA 273: 703-708.
10. Rodríguez-Molinero A, López-Diéguez M, Tabuenca AI, de la Cruz JJ, Banegas JR, (2010) Physicians' impression on the elders' functionality influences decision making for emergency care. Am J Emerg Med 28: 757-765 doi:10.1016/j.ajem.2009.03.016.
11. Garrouste-Orgeas M, Montuclard L, Timsit J-F, Misset B, Christias M, et al. (2003) Triaging patients to the ICU: a pilot study of factors influencing admission decisions and patient outcomes. Intensive Care Med 29: 774-781 doi:10.1007/s00134-003-1709-z.
12. Garrouste-Orgeas M, Montuclard L, Timsit J-F, Reignier J, Desmettre T, et al. (2005) Predictors of intensive care unit refusal in French intensive care units: a multiple-center study. Crit Care Med 33: 750-755.
13. Metcalfe MA, Sloggett A, McPherson K, (1997) Mortality among appropriately referred patients refused admission to intensive-care units. Lancet 350: 7-11 doi:10.1016/S0140-6736(96)10018-0.
14. Thiéry G, Azoulay É, Darmon M, Ciroldi M, De Miranda S, et al. (2005) Outcome of Cancer Patients Considered for Intensive Care Unit Admission: A Hospital-Wide Prospective Study. Journal of Clinical Oncology 23: 4406-4413 doi:10.1200/JCO.2005.01.487.
15. Garrouste-Orgeas M, Timsit J-F, Montuclard L, Colvez A, Gattolliat O, et al. (2006) Decision-making process, outcome, and 1-year quality of life of octogenarians referred for intensive care unit admission. Intensive Care Med 32: 1045-1051 doi:10.1007/s00134-006-0169-7.
16. Frost DW, Fowler R, (2009) Oncoming tides in the Age(ing) of Aquarius. Crit Care 13: 145 doi:10.1186/cc7791.
17. Sprung CL, Artigas A, Kesecioglu J, Pezzi A, Wiis J, et al. (2011) The Eldicus prospective, observational study of triage decision making in European intensive care units. Part II: Intensive care benefit for the elderly. Crit Care Med Available:http://www.ncbi.nlm.nih.gov/pubmed/22001580. Accessed 18 December 2011.
18. Sprung CL, Baras M, Iapichino G, Kesecioglu J, Lippert A, et al. (2011) The Eldicus prospective, observational study of triage decision making in European intensive care units: Part I-European Intensive Care Admission Triage Scores (EICATS). Crit Care Med Available:http://www.ncbi.nlm.nih.gov/pubmed/21926598. Accessed 18 December 2011.
19. Garrouste-Orgeas M, Boumendil A, Pateron D, Aergerter P, Somme D, et al. (2009) Selection of intensive care unit admission criteria for patients aged 80 years and over and compliance of emergency and intensive care unit physicians with the selected criteria: An observational, multicenter, prospective study. Crit Care Med 37: 2919-2928.
20. Shmueli A, Sprung CL, (2005) Assessing the in-hospital survival benefits of intensive care. Int J Technol Assess Health Care 21: 66-72.
21. Wunsch H, Guerra C, Barnato AE, Angus DC, Li G, et al. (2010) Three-year outcomes for Medicare beneficiaries who survive intensive care. JAMA 303: 849-856 doi:10.1001/jama.2010.216.
22. Angus DC, Barnato AE, Linde-Zwirble WT, Weissfeld LA, Watson RS, et al. (2004) Use of intensive care at the end of life in the United States: an epidemiologic study. Crit Care Med 32: 638-643.
23. Barnato AE, McClellan MB, Kagay CR, Garber AM, (2004) Trends in inpatient treatment intensity among Medicare beneficiaries at the end of life. Health Serv Res 39: 363-375 doi:10.1111/j.1475-6773.2004.00232.x.
24. Sharma G, Freeman J, Zhang D, Goodwin JS, (2008) Trends in end-of-life ICU use among older adults with advanced lung cancer. Chest 133: 72-78 doi:10.1378/chest.07-1007.
25. Guidelines for intensive care unit admission, discharge, and triage (1999) Task Force of the American College of Critical Care Medicine, Society of Critical Care Medicine. Crit Care Med 27: 633-638.
26. Lemeshow S, Teres D, Klar J, Avrunin JS, Gehlbach SH, et al. (1993) Mortality Probability Models (MPM II) based on an international cohort of intensive care unit patients. JAMA 270: 2478-2486.
27. Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW, (1963) Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. JAMA 185: 914-919.
28. Luyt C-E, Combes A, Aegerter P, Guidet B, Trouillet JL, et al. (2007) Mortality among patients admitted to intensive care units during weekday day shifts compared with "off" hours. Crit Care Med 35: 3-11 doi:10.1097/01.CCM.0000249832.36518.11.
29. Aegerter P, Boumendil A, Retbi A, Minvielle E, Dervaux B, et al. (2005) SAPS II revisited. Intensive Care Med 31: 416-423 doi:10.1007/s00134-005-2557-9.
30. Le Gall JR, Lemeshow S, Saulnier F, (1993) A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA 270: 2957-2963.
31. Harrell FE Jr, (2001) Regression Modeling Strategies: With Applications to Linear Models, Logistic Regression, and Survival Analysis. 2nd ed. Springer-Verlag New York Inc pp. 600.
32. Merlo J, Chaix B, Ohlsson H, Beckman A, Johnell K, et al. (2006) A brief conceptual tutorial of multilevel analysis in social epidemiology: using measures of clustering in multilevel logistic regression to investigate contextual phenomena. J Epidemiol Community Health 60: 290-297 doi:10.1136/jech.2004.029454.
33. Larsen K, Merlo J, (2005) Appropriate assessment of neighborhood effects on individual health: integrating random and fixed effects in multilevel logistic regression. Am J Epidemiol 161: 81-88 doi:10.1093/aje/kwi017.
34. R Development Core Team (2010) R: A language and environment for statistical computing. R Foundation for Statistical Computing. Vienna, Austria Available:http://www.R-project.org.
35. Sprung CL, Geber D, Eidelman LA, Baras M, Pizov R, et al. (1999) Evaluation of triage decisions for intensive care admission. Crit Care Med 27: 1073-1079.
36. Boumendil A, Aegerter P, Guidet B, (2005) Treatment intensity and outcome of patients aged 80 and older in intensive care units: a multicenter matched-cohort study. J Am Geriatr Soc 53: 88-93 doi:10.1111/j.1532-5415.2005.53016.x.
37. Boumendil A, Maury E, Reinhard I, Luquel L, Offenstadt G, et al. (2004) Prognosis of patients aged 80 years and over admitted in medical intensive care unit. Intensive Care Med 30: 647-654 doi:10.1007/s00134-003-2150-z.
38. de Rooij SE, Govers A, Korevaar JC, Abu-Hanna A, Levi M, et al. (2006) Short-term and long-term mortality in very elderly patients admitted to an intensive care unit. Intensive Care Med 32: 1039-1044 doi:10.1007/s00134-006-0171-0.
39. de Rooij SEJA, Govers AC, Korevaar JC, Giesbers AW, Levi M, et al. (2008) Cognitive, functional, and quality-of-life outcomes of patients aged 80 and older who survived at least 1 year after planned or unplanned surgery or medical intensive care treatment. J Am Geriatr Soc 56: 816-822 doi:10.1111/j.1532-5415.2008.01671.x.
40. Torres OH, Francia E, Longobardi V, Gich I, Benito S, et al. (2006) Short- and long-term outcomes of older patients in intermediate care units. Intensive Care Med 32: 1052-1059 doi:10.1007/s00134-006-0170-1.
41. Vanhecke TE, Gandhi M, McCullough PA, Lazar MH, Ravikrishnan KP, et al. (2008) Outcomes of patients considered for, but not admitted to, the intensive care unit. Crit Care Med 36: 812-817 doi:10.1097/CCM.0B013E318165FAC7.
42. Boumendil A, Latouche A, Guidet B, (2011) On the benefit of intensive care for very old patients. Arch Intern Med 171: 1116-1117 doi:10.1001/archinternmed.2011.102.