Clinical characteristics and outcome of very elderly patients ≥90 years in intensive care: a retrospective observational study

Annals of Intensive Care

Volumn 5, Issue 1, 2015, Pages 1-8

  Becker, Sophie ^a   Müller, Jakob ^a   de Heer, Geraldine ^a   Braune, Stephan ^a   Fuhrmann, Valentin ^a   Kluge, Stefan ^a  

^a UNIVERSITY MEDICAL CENTER HAMBURG EPPENDORF   (Germany)

Author keywords

Intensive care; Long term outcome; Over 90 years old; Prognosis

Indexed keywords

BILIRUBIN; CATECHOLAMINE; CREATININE; VASOACTIVE AGENT;

AGED; ARTICLE; ARTIFICIAL VENTILATION; BLOOD TRANSFUSION; CLINICAL FEATURE; FEMALE; GERIATRIC SURGERY; GERMANY; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; INTENSIVE CARE; MAJOR CLINICAL STUDY; MALE; MORTALITY; OBSERVATIONAL STUDY; PRIORITY JOURNAL; RISK FACTOR; TREATMENT OUTCOME; UNIVERSITY HOSPITAL; VERY ELDERLY;

EID: 84950310728     PISSN: None     EISSN: 21105820     Source Type: Journal    
DOI: 10.1186/s13613-015-0097-1     Document Type: Article

References (32)

1. Population Division. Department of Economic and Social Affairs, United Nations: World Population Ageing. 2013. [http://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2013.pdf]. Accessed 30 June 2015.
2. Population Division. Department of Economic and Social Affairs, United Nations: Profiles of Ageing. 2013. [http://esa.un.org/unpd/popdev/AgingProfiles2013/default.aspx]. Accessed 30 June 2015.
3. Watters JM. Surgery in the elderly. Can J Surg. 2002;45(2):104–8.
4. Arenal JJ, de Teresa G, Tinoco C, Toledano M, Said A. Abdominal surgery in nonagenarians: short-term results. Surg Today. 2007;37(12):1064–7. doi:10.1007/s00595-007-3537-1.
5. Ihra GC, Lehberger J, Hochrieser H, Bauer P, Schmutz R, Metnitz B, et al. Development of demographics and outcome of very old critically ill patients admitted to intensive care units. Intensive Care Med. 2012;38(4):620–6. doi:10.1007/s00134-012-2474-7.
6. Fuchs L, Chronaki CE, Park S, Novack V, Baumfeld Y, Scott D, et al. ICU admission characteristics and mortality rates among elderly and very elderly patients. Intensive Care Med. 2012;38(10):1654–61. doi:10.1007/s00134-012-2629-6.
7. Brunner-Ziegler S, Heinze G, Ryffel M, Kompatscher M, Slany J, Valentin A. “Oldest old” patients in intensive care: prognosis and therapeutic activity. Wien Klin Wochenschr. 2007;119(1–2):14–9. doi:10.1007/s00508-007-0771-x.
8. Marik PE. Should age limit admission to the intensive care unit? Am J Hosp Palliat Care. 2007;24(1):63–6. doi:10.1177/1049909106295385.
9. Boumendil A, Somme D, Garrouste-Orgeas M, Guidet B. Should elderly patients be admitted to the intensive care unit? Intensive Care Med. 2007;33(7):1252–62. doi:10.1007/s00134-007-0621-3.
10. Nguyen YL, Angus DC, Boumendil A, Guidet B. The challenge of admitting the very elderly to intensive care. Ann Intensive Care. 2011;1(1):29. doi:10.1186/2110-5820-1-29.
11. Bagshaw SM, Webb SA, Delaney A, George C, Pilcher D, Hart GK, et al. Very old patients admitted to intensive care in Australia and New Zealand: a multi-centre cohort analysis. Crit Care. 2009;13(2):R45. doi:10.1186/cc7768.
12. Sprung CL, Artigas A, Kesecioglu J, Pezzi A, Wiis J, Pirracchio R, et al. 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. 2012;40(1):132–8. doi:10.1097/CCM.0b013e318232d6b0.
13. Djaiani G, Ridley S. Outcome of intensive care in the elderly. Anaesthesia. 1997;52(12):1130–6.
14. Ely EW, Wheeler AP, Thompson BT, Ancukiewicz M, Steinberg KP, Bernard GR. Recovery rate and prognosis in older persons who develop acute lung injury and the acute respiratory distress syndrome. Ann Intern Med. 2002;136(1):25–36.
15. Soares M, Carvalho MS, Salluh JI, Ferreira CG, Luiz RR, Rocco JR, et al. Effect of age on survival of critically ill patients with cancer. Crit Care Med. 2006;34(3):715–21. doi:10.1097/01.ccm.0000201883.05900.3f.
16. Rosenthal GE, Kaboli PJ, Barnett MJ, Sirio CA. Age and the risk of in-hospital death: insights from a multihospital study of intensive care patients. J Am Geriatr Soc. 2002;50(7):1205–12.
17. Lerolle N, Trinquart L, Bornstain C, Tadie JM, Imbert A, Diehl JL, et al. Increased intensity of treatment and decreased mortality in elderly patients in an intensive care unit over a decade. Crit Care Med. 2010;38(1):59–64. doi:10.1097/CCM.0b013e3181b088ec.
18. Somme D, Maillet JM, Gisselbrecht M, Novara A, Ract C, Fagon JY. Critically ill old and the oldest-old patients in intensive care: short- and long-term outcomes. Intensive Care Med. 2003;29(12):2137–43. doi:10.1007/s00134-003-1929-2.
19. de Rooij SE, Abu-Hanna A, Levi M, de Jonge E. Factors that predict outcome of intensive care treatment in very elderly patients: a review. Crit Care. 2005;9(4):R307–14. doi:10.1186/cc3536.
20. Boumendil A, Maury E, Reinhard I, Luquel L, Offenstadt G, Guidet B. Prognosis of patients aged 80 years and over admitted in medical intensive care unit. Intensive Care Med. 2004;30(4):647–54. doi:10.1007/s00134-003-2150-z.
21. Demoule A, Cracco C, Lefort Y, Ray P, Derenne JP, Similowski T. Patients aged 90 years or older in the intensive care unit. J Gerontol A Biol Sci Med Sci. 2005;60(1):129–32.
22. Rellos K, Falagas ME, Vardakas KZ, Sermaides G, Michalopoulos A. Outcome of critically ill oldest-old patients (aged 90 and older) admitted to the intensive care unit. J Am Geriatr Soc. 2006;54(1):110–4. doi:10.1111/j.1532-5415.2005.00544.x.
23. Seder DB, Patel N, McPherson J, McMullan P, Kern KB, Unger B, et al. Geriatric experience following cardiac arrest at six interventional cardiology centers in the United States 2006–2011: interplay of age, do-not-resuscitate order, and outcomes. Crit Care Med. 2014;42(2):289–95. doi:10.1097/CCM.0b013e3182a26ec6.
24. Al-Dorzi HM, Tamim HM, Mundekkadan S, Sohail MR, Arabi YM. Characteristics, management and outcomes of critically ill patients who are 80 years and older: a retrospective comparative cohort study. BMC anesthesiology. 2014;14:126. doi:10.1186/1471-2253-14-126.
25. Andersen FH, Flaatten H, Klepstad P, Romild U, Kvale R. Long-term survival and quality of life after intensive care for patients 80 years of age or older. Ann Intensive Care. 2015;5(1):53. doi:10.1186/s13613-015-0053-0.
26. Statistisches Bundesamt: Bevölkerung und Erwerbstätigkeit. Natürliche Bevölkerungsbewegung. 2012. [https://www.destatis.de/DE/Publikationen/Thematisch/Bevoelkerung/Bevoelkerungsbewegung/Bevoelkerungsbewegung2010110127004.pdf?__blob=publicationFile]. Accessed 30 June 2015.
27. Roch A, Wiramus S, Pauly V, Forel JM, Guervilly C, Gainnier M, et al. Long-term outcome in medical patients aged 80 or over following admission to an intensive care unit. Crit Care. 2011;15(1):R36. doi:10.1186/cc9984.
28. Tabah A, Philippart F, Timsit JF, Willems V, Francais A, Leplege A, et al. Quality of life in patients aged 80 or over after ICU discharge. Crit Care. 2010;14(1):R2. doi:10.1186/cc8231.
29. Puchades R, Gonzalez B, Contreras M, Gullon A, de Miguel R, Martin D, et al. Cardiovascular profile in critically ill elderly medical patients: prevalence, mortality and length of stay. Eur J Intern Med. 2015;26(1):49–55. doi:10.1016/j.ejim.2014.12.010.
30. Heyland DK, Garland A, Bagshaw SM, Cook D, Rockwood K, Stelfox HT, et al. Recovery after critical illness in patients aged 80 years or older: a multi-center prospective observational cohort study. Intensive Care Med. 2015;41(11):1911–20. doi:10.1007/s00134-015-4028-2.
31. Geppert A. Patients in the intensive care unit with valvular diseases. Med Klin Intensivmed Notfmed. 2013;108(7):555–60. doi:10.1007/s00063-012-0140-z.
32. Kaarlola A, Tallgren M, Pettila V. Long-term survival, quality of life, and quality-adjusted life-years among critically ill elderly patients. Crit Care Med. 2006;34(8):2120–6. doi:10.1097/01.CCM.0000227656.31911.2E.