7th April 2017, Volume 130 Number 1453

Jay Ritzema, Paul Young

Demand for elective and emergency intensive care unit (ICU) beds for elderly patients is increasing.1 There are many potential factors that may be driving this demand, including: an ageing population,…

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Author Information

Jay Ritzema, Registrar, ICU, Wellington Hospital, Wellington; Paul Young, Intensivist, Wellington Hospital, Wellington.

Correspondence

Paul Young, Intensive Care Unit, Wellington Regional Hospital, Riddiford Street, Newtown, Wellington 6021.

Correspondence Email

paul.young@ccdhb.org.nz

Competing Interests

Nil.

References

  1. Bagshaw SM, Webb SA, Delaney A, et al. Very old patients admitted to intensive care in Australia and New Zealand: a multi-centre cohort analysis. Crit Care. 2009; 13:R45.
  2. Hamel MB, Davis RB, Teno JM, et al. Older age, aggressiveness of care, and survival for seriously ill, hospitalized adults. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments. Ann Intern Med. 1999; 131:721–8.
  3. Iwashyna TJ, Ely EW, Smith DM, Langa KM. Long-term cognitive impairment and functional disability among survivors of severe sepsis. JAMA. 2010; 304:1787–94.
  4. Heyland DK, Garland A, Bagshaw SM, et al. Recovery after critical illness in patients aged 80 years or older: a multi-center prospective observational cohort study. Intensive Care Med. 2015; 41:1911–20.
  5. Hoffman KR, Loong B, Haren FV. Very old patients urgently referred to the intensive care unit: long-term outcomes for admitted and declined patients. Crit Care Resusc. 2016; 18:157–64.
  6. Detering KM, Hancock AD, Reade MC, Silvester W. The impact of advance care planning on end of life care in elderly patients: randomised controlled trial. BMJ. 2010; 340:1345.
  7. Boumendil A, Latouche A, Guidet B for the ICE-CUB Study Group. On the Benefit of Intensive Care for Very Old Patients. Arch Intern Med. 2011; 171:1116–1117.
  8. Boumendil A, Woimant M, Quenot JP, et al; ICE-CUB 2 study network. Designing and conducting a cluster-randomized trial of ICU admission for the elderly patients: the ICE-CUB 2 study. Ann Intensive Care. 2016; 6:74.
  9. Young PJ, Arnold R. Intensive care triage in Australia and New Zealand. N Z Med J. 2010; 123:33–46.
  10. Australian and New Zealand Intensive Care Society. ANZICS Statement on Care and Decision-Making at the End of Life for the Critically Ill. Melbourne, Australia: 2014.

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