Elderly patients and management in intensive care units (ICU): clinical challenges

LB Brunker, CS Boncyk, KF Rengel… - Clinical interventions in …, 2023 - Taylor & Francis
There is a growing population of older adults requiring admission to the intensive care unit
(ICU). This population outpaces the ability of clinicians with geriatric training to assist in their …

The impact of age-related syndromes on ICU process and outcomes in very old patients

H Vallet, B Guidet, A Boumendil, DW De Lange… - Annals of Intensive …, 2023 - Springer
In this narrative review, we describe the most important age-related “syndromes” found in
the old ICU patients. The syndromes are frailty, comorbidity, cognitive decline, malnutrition …

Illness severity assessment of older adults in critical illness using machine learning (ELDER-ICU): an international multicentre study with subgroup bias evaluation

X Liu, P Hu, W Yeung, Z Zhang, V Ho, C Liu… - The Lancet Digital …, 2023 - thelancet.com
Background Comorbidity, frailty, and decreased cognitive function lead to a higher risk of
death in elderly patients (more than 65 years of age) during acute medical events. Early and …

The impact of age on intensive care

K Akinosoglou, G Schinas, MP Almyroudi… - Ageing Research …, 2023 - Elsevier
Caring for the elderly has always been challenging for the intensive care unit (ICU)
physician. Concerns like frailty, comorbidities, polypharmacy and advanced directives come …

Characteristics, management, and prognosis of elderly patients with COVID-19 admitted in the ICU during the first wave: insights from the COVID-ICU study: prognosis …

M Dres, D Hajage, S Lebbah, A Kimmoun, T Pham… - Annals of intensive …, 2021 - Springer
Background The COVID-19 pandemic is a heavy burden in terms of health care resources.
Future decision-making policies require consistent data on the management and prognosis …

Clustering analysis of geriatric and acute characteristics in a cohort of very old patients on admission to ICU

O Mousai, L Tafoureau, T Yovell, H Flaatten… - Intensive Care …, 2022 - Springer
Purpose The biological and functional heterogeneity in very old patients constitutes a major
challenge to prognostication and patient management in intensive care units (ICUs). In …

National ICU registries as enablers of clinical research and quality improvement

JIF Salluh, A Quintairos, DA Dongelmans… - Critical Care …, 2024 - journals.lww.com
OBJECTIVES: Clinical quality registries (CQRs) have been implemented worldwide by
several medical specialties aiming to generate a better characterization of epidemiology …

Prognosticating the outcome of intensive care in older patients—a narrative review

M Beil, R Moreno, J Fronczek, Y Kogan… - Annals of Intensive …, 2024 - Springer
Prognosis determines major decisions regarding treatment for critically ill patients. Statistical
models have been developed to predict the probability of survival and other outcomes of …

Adjunctive ketamine for sedation in critically ill mechanically ventilated patients: an active-controlled, pilot, feasibility clinical trial

M Amer, K Maghrabi, M Bawazeer, K Alshaikh… - Journal of Intensive …, 2021 - Springer
Objective Ketamine has been shown to decrease sedative requirements in intensive care
unit (ICU). Randomized trials are limited on patient-centered outcomes. We designed this …

Characteristics and outcomes of very Elderly patients admitted to Intensive Care: a retrospective Multicenter Cohort Analysis

S Rai, C Brace, P Ross, J Darvall, K Haines… - Critical Care …, 2023 - journals.lww.com
OBJECTIVES: To characterize and compare trends in ICU admission, hospital outcomes,
and resource utilization for critically ill very elderly patients (≥ 80 yr old) compared with the …