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Factors that predict outcome of intensive care treatment in very elderly patients a review
Available online /content/9/4/R307
Research
Open Access
Vol 9 No 4
Factors that predict outcome of intensive care treatment in very
elderly patients: a review
Sophia E de Rooij1, Ameen Abu-Hanna2, Marcel Levi3 and Evert de Jonge4
1Head, Department of Geriatrics, Academic Medical Center, University of Amsterdam, Amsterdam
2Adjunct Head, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam
3Professor and Head, Department of Internal Medicine, Cardiology and Pulmonary Disease, Academic Medical Center, University of Amsterdam,
Amsterdam
4Adjunct Head Department of Intensive Care, Academic Medical Center, University of Amsterdam, Amsterdam
Corresponding author: Sophia E de Rooij, s.e.derooij@amc.uva.nl
Received: 13 Jan 2005 Revisions requested: 11 Mar 2005 Revisions received: 6 Apr 2005 Accepted: 8 Apr 2005 Published: 17 May 2005
Critical Care 2005, 9:R307-R314 (DOI 10.1186/cc3536)
This article is online at: /content/9/4/R307
? 2005 de Rooij et al.; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/
2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Introduction Advanced age is thought to be associated with
increased mortality in critically ill patients. This report reviews
available data on factors that determine outcome, on the value
of prognostic models, and on preferences regarding life-
sustaining treatments in (very) elderly intensive care unit (ICU)
patients.
factors, such as severity of illness and premorbid functional
status, that appear to be responsible for the poorer prognosis.
Patients preferences regarding life-sustaining treatments are
importantly influenced by the likelihood of a beneficial outcome.
Commonly used prognostic models have not been calibrated for
use in the very elderly. Furth
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