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octogenarians in the icu are you ever too old八旬老人在icu你太老了
McDermid and Bagshaw Critical Care 2011, 15:125
/content/15/1/125
COMMENTARY
Octogenarians in the ICU: are you ever too old?
Robert C McDermid and Sean M Bagshaw*
See related research by Roch et al., /content/15/1/R36
(18.0%) a median 5.3 years after hospital discharge, where
Abstract overall scores for physical function were greatly reduced.
Long-term morbidity and mortality rates for older While these fi ndings are provocative and extend our
patients admitted to the ICU remain substantial. In this knowledge of the outcomes for elderly patients suff ering
issue of Critical Care, Roch and colleagues describe an episode of critical illness, this study also has important
a retrospective study evaluating factors associated limitations that challenge its inferences and overall
with survival and quality-of-life of octogenarians generalizability. First, it refl ects a relatively small cohort
(aged ≥80 years) admitted to a medical ICU. This study of elderly patients admitted to a single tertiary medical
proposes to address a highly relevant and increasingly ICU in France. Second, this study does not directly
encountered scenario in ICUs - what factors can best provide insight on the prognostic impact of age alone on
estimate prognosis for elderly patients at the time long-term outcome after critical illness, due to lack of
of evaluation for ICU admission? While perhaps not controls for comparison. h ird, while 12.4% of all admis-
unique to octogenarians, such data
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