Quality of life in patients aged 80 or over after intensive care unit discharge 英文参考文献.docVIP

Koeze and Zijlstra Critical Care 2010, 14:434 /content/14/4/434 LET TER Quality of life in patients aged 80 or over after intensive care unit discharge Jacqueline Koeze and Jan G Zijlstra* See related research by Tabah et al., /content/14/1/R2 In a recent issue of Critical Care, Tabah and colleagues of 86 patients and families be balanced against the [1] describe the quality of life after intensive care unit positive feelings of 18 patient is is an ethical or e quality is not philosophical dilemma that is not easy to solve and that is is is good subject to large cultural di? erences. In a previous paper, (ICU) discharge in octogenarians signi? cantly decreased by IC news and it is reassuring ere are old patients pro? ting the authors report that many octogenarians are already from ICU admission without loss of quality of life. refused admission to the ICU [2]. We have to improve However, we have some concerns. Only 18 of 106 this triage model, not primarily to refuse more but to evaluated patients agreed to another ICU admission. Five select better. A 1-year mortality rate of 70% is un- did not agree, seven for various reasons refused acceptably high. Improvement should not be expected evaluation, three had dementia, and 73 did not reach from better care but from better selection. Avoidance of 1-year survival. So only the happy few were evaluated. unnecessary su? ering and providing a good death can What worries us are the feelings of the 86 patients and also mean tremendous improvement in the care of families that could not or did not agree to readmission. critically ill octogenarians. And it provides time and ere is not much doubt that ICU admission causes resources for improvement of car