The wave of very old people in the intensive care unit-A challenge in decision-making.


Journal

Journal of critical care
ISSN: 1557-8615
Titre abrégé: J Crit Care
Pays: United States
ID NLM: 8610642

Informations de publication

Date de publication:
12 2020
Historique:
received: 24 04 2020
revised: 06 07 2020
accepted: 31 08 2020
pubmed: 20 9 2020
medline: 24 4 2021
entrez: 19 9 2020
Statut: ppublish

Résumé

In this paper the authors express the opinion that there is much to be learned about the 80+ year old age group as it relates to critical care and end-of-life matters. We need to learn how to better predict outcome, we need to learn our limitations and deal with uncertainties, we need to better communicate with our elderly patients and their caregivers and we need to engage with our colleagues in Geriatrics. There is a wave of very old people arriving in the intensive care unit and we have much to do to prepare for it and for the ethical, fair and appropriate care of these critically ill, but elderly, patients.

Identifiants

pubmed: 32949896
pii: S0883-9441(20)30674-2
doi: 10.1016/j.jcrc.2020.08.030
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

290-293

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest All the authors declare that they have no conflict of interest issues with this manuscript.

Auteurs

Peter Vernon van Heerden (PV)

General Intensive Care Unit, Hadassah-Hebrew University Hospital, Jerusalem, Israel. Electronic address: vernon@hadassah.org.il.

Sigal Sviri (S)

Medical Intensive Care Unit, Hadassah-Hebrew University Hospital, Jerusalem, Israel.

Michael Beil (M)

Institute of Health Sciences at PTHV, Pallottistr. 3, 56179 Vallendar, Germany.

Wojciech Szczeklik (W)

Department of Intensive Care and Perioperative Medicine, Jagiellonian University Medical College, Krakow, Poland.

Dylan de Lange (D)

Department of Intensive Care Medicine, University Medical Center, University Utrecht, Utrecht, The Netherlands.

Christian Jung (C)

Department of Cardiology, Pulmonary Diseases, and Vascular Medicine, Medical Faculty, Heinrich Heine University of Duesseldorf, Germany.

Bertrand Guidet (B)

Sorbonne Universite, INSERM, Institut Pierre Louis d'Epidemiomlogie et de Sante Publique Hopital Saint-Antoine, Service de Reanimation, Paris, France.

Susannah Leaver (S)

Department of Adult Critical Care, St George's Healthcare NHS Foundation Trust, London, UK.

Andrew Rhodes (A)

Department of Adult Critical Care, St George's Healthcare NHS Foundation Trust, London, UK.

Ariane Boumendil (A)

Hôpital Saint Antoine, 75012 Paris, France.

Hans Flaatten (H)

Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway.

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Classifications MeSH