short-and long-term health implications of surgical intensive care in the elderly的时候(长期健康影响老年人的外科重症监护.pdfVIP

Vol.2, No.12, 1405-1412 (2010) Health doi:10.4236/health.2010.212209 Short-and long-term health implications of surgical intensive care in the elderly Stefan Utzolino*, Philipp A. Ober, Magnus Kaffarnik, Andreas Fischer, Ulrich T. Hopt, Peter K. Baier Department of General Surgery, Surgical ICU, University of Freiburg, Freiburg im Breisgau, Germany *Corresponding Author: stefan.utzolino@uniklinik-freiburg.de Received 17 August 2010; revised 1 October 2010; accepted 8 October 2010 ABSTRACT vey in 1999, patients age 65 years and older constituted 12% of the population, yet used 48% of inpatient care Background: Treatment of elderly patients on days and contributed to 40% of hospital discharges [2]. intensive care units is an increasing challenge Intensive care is expensive, so there is continuous dis- all over the world. Objectives: To evaluate short- cussion about the allocation of resources, with health term survival and long-term quality of life im- plications of intensive care for the elderly. care systems chronically short of funds all over the Methods: Retrospective analysis of 314 patients world. There is thus concern about whether offering in- 75 years of age or more requiring over 48 hours tensive care to very old patients is a justifiable invest- of intensive care. Results: In multivariate analy-