Prognosis of Very Elderly Patients after Intensive Care.
Prognosis of Very Elderly Patients after Intensive Care.
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DOI：
10.3390/jcm11040897
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发表时间：
2022-02-09
影响因子：
3.9
通讯作者：
Gelée B
中科院分区：
文献类型：
--
作者：
Michel P;Fadel F;Ehrmann S;Plantefève G;Gelée B
尽管医生不愿意接受这些虚弱的病人，但越来越多的老年病人（85岁以上）在重症监护室（ICU）接受治疗。只有少数研究描述了ICU中这组患者的治疗相关性。其中一项研究将85岁或85岁以上定为基本准入标准。排除标准是入院前自主性低或不能接电话。流行病学资料，历史，生活方式，和自主性（ADL评分的六个项目）在入住ICU和6个月后通过电话采访记录。8个法国ICU包括239名85岁以上的患者。最常见的诊断为非心源性肺病（36%）、严重脓毒症/脓毒性休克（29%）和急性肺水肿（28%）。23%的患者在入院时有依赖性。71%的患者在从ICU出院时仍然活着，52%的患者在6个月后仍然活着。在住院前不依赖的患者中，17%的人变得依赖。入院时SAPS II评分及入院前居住地（疗养院或家庭环境预后差）是唯一的预后指标。尽管这些老年患者在ICU住院后预后良好，但应注意的是，该人群是精心选择的，因为合并症或依赖性很少。不能建议分类标准。
Elderly patients (over age 85) are increasingly treated in Intensive Care Units (ICU), despite doctors’ reluctance to accept these frail patients. There are only few studies describing the relevance of treatments for this group of patients in ICU. One of these studies defined an age of 85 or over as the essential admittance criterion. Exclusion criteriwere low autonomy before admittance or an inability to answer the phone. Epidemiological data, history, lifestyle, and autonomy (ADL score of six items) were recorded during admission to the ICU and by phone interviews six months later. Eight French ICUs included 239 patients aged over 85. The most common diagnostics were non-cardiogenic lung disease (36%), severe sepsis/septic shock (29%), and acute pulmonary oedem (28%). Twenty-three percent of patients were dependent at the time of their admission. Seventy-one percent of patients were still alive when released from ICU, and 52% were still alive after 6 months. Among the patients which were non-dependent before hospitalization, 17% became dependent. The only prognostic criterifound were the SAPS II score on admission and the place of residence before admission (nursing home or family environment had poor prognosis). Although the prognosis of these elderly patients was good after hospitalization in ICU, it should be noted that the population was carefully selected as having few comorbidities or dependence. No triage critericould be suggested.
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影响因子：
3
作者：
KATZ, S;AKPOM, CA
通讯作者：
AKPOM, CA
影响因子：
8.8
作者：
Andersen, Finn H.;Flaatten, Hans;Kvale, Reidar
通讯作者：
Kvale, Reidar
DOI：
10.1186/cc8231
发表时间：
2010
期刊：
Critical care (London, England)
影响因子：
--
作者：
Tabah A;Philippart F;Timsit JF;Willems V;Français A;Leplège A;Carlet J;Bruel C;Misset B;Garrouste-Orgeas M
通讯作者：
Garrouste-Orgeas M
DOI：
10.1186/cc9984
发表时间：
2011
期刊：
Critical care (London, England)
影响因子：
--
作者：
Roch A;Wiramus S;Pauly V;Forel JM;Guervilly C;Gainnier M;Papazian L
通讯作者：
Papazian L
影响因子：
8.8
作者：
Sprung, Charles L.;Artigas, Antonio;Iapichino, Gaetano
通讯作者：
Iapichino, Gaetano