This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Review of the Literature

Lakshmipathi Chelluri, MD, MPH, FCCM, FCCP; Ake Grenvik, MD, PhD, FCCM, FCCP; Myrna Silverman, PhD

Arch Intern Med. 1995;155(10):1013-1022.

Abstract
The literature on outcomes of intensive care for the elderly with regard to intensive care unit utilization, mortality, hospital costs and charges, and quality of life after intensive care were reviewed. Publications in the English literature, which evaluated intensive care and included elderly populations, were obtained from review of Index Medicus and MEDLINE. We conclude that age alone is not an acceptable predictor of critical illness with regard to mortality and quality of life of survivors. A therapeutic trial and appropriately discontinuing life support may lead to better utilization of intensive care. Additional data are needed on long-term mortality and quality of life after hospital discharge.

(Arch Intern Med. 1995;155:1013-1022)

Author Affiliations
From the Departments of Anesthesiology and Critical Care Medicine, University of Pittsburgh (Pa) School of Medicine (Drs Chelluri and Grenvik), and Health Services Administration and Anthropology, Graduate School of Public Health, University of Pittsburgh (Dr Silverman).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Analytic Reviews: Considerations in Caring for the Critically Ill Older Patient
Pisani
J Intensive Care Med 2009;24:83-95.
ABSTRACT  

Weaning Readiness and Fluid Balance in Older Critically Ill Surgical Patients
Epstein and Peerless
Am J Crit Care 2006;15:54-64.
ABSTRACT | FULL TEXT  

Elderly Patients With Cognitive Impairment Have a High Risk for Functional Decline During Hospitalization: The GIFA Study
Pedone et al.
Journals of Gerontology Series A: Biological Sciences and Medical Sciences 2005;60:1576-1580.
ABSTRACT | FULL TEXT  

Outcomes of Elderly Survivors of Intensive Care: A Review of the Literature
Hennessy et al.
Chest 2005;127:1764-1774.
ABSTRACT | FULL TEXT  

Patients Aged 90 Years or Older in the Intensive Care Unit
Demoule et al.
Journals of Gerontology Series A: Biological Sciences and Medical Sciences 2005;60:129-132.
ABSTRACT | FULL TEXT  

Critical Care Use during the Course of Serious Illness
Iwashyna
Am. J. Respir. Crit. Care Med. 2004;170:981-986.
ABSTRACT | FULL TEXT  

Intensive care and invasive ventilation in the elderly patient, implications of chronic lung disease and comorbidities
Nielson and Wingete
Chronic Respiratory Disease 2004;1:43-54.
ABSTRACT  

Subjective Perceptions and Physiological Variables During Weaning From Mechanical Ventilation
Twibell et al.
Am J Crit Care 2003;12:101-112.
ABSTRACT | FULL TEXT  

Weaning Older Patients From Long-term Mechanical Ventilation: A Pilot Study
Epstein et al.
Am J Crit Care 2002;11:369-377.
ABSTRACT | FULL TEXT  

Assessing Outcomes in Critical Care
Watson and Angus
J Intensive Care Med 2002;17:103-111.
ABSTRACT  

The Design of Randomized Clinical Trials in Critically Ill Patients*
Hebert et al.
Chest 2002;121:1290-1300.
ABSTRACT | FULL TEXT  

Hospitalized Community-acquired Pneumonia in the Elderly . Age- and Sex-related Patterns of Care and Outcome in the United States
KAPLAN et al.
Am. J. Respir. Crit. Care Med. 2002;165:766-772.
ABSTRACT | FULL TEXT  

2-Month Mortality and Functional Status of Critically Ill Adult Patients Receiving Prolonged Mechanical Ventilation
Chest 2002;121:549-558.
ABSTRACT | FULL TEXT  

Recovery Rate and Prognosis in Older Persons Who Develop Acute Lung Injury and the Acute Respiratory Distress Syndrome
Ely et al.
ANN INTERN MED 2002;136:25-36.
ABSTRACT | FULL TEXT  

Current and Projected Workforce Requirements for Care of the Critically Ill and Patients With Pulmonary Disease: Can We Meet the Requirements of an Aging Population?
Angus et al.
JAMA 2000;284:2762-2770.
ABSTRACT | FULL TEXT  

Language and Reality at the End of Life
Cohen-Almagor
J Law Med Ethics 2000;28:267-278.
 

Cardiac Operations in Patients 90 Years of Age and Older
Blanche et al.
Ann. Thorac. Surg. 1997;63:1685-1690.
ABSTRACT | FULL TEXT