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Long-term outcome of critically ill elderly patients requiring intensive care.
JAMA. 1993 Jun 23-30; 269(24):3119-23.JAMA

Abstract

OBJECTIVE

To evaluate the long-term mortality and morbidity of critically ill elderly patients requiring intensive care.

DESIGN

Prospective comparison of outcome of critically ill patients aged 75 years and older with patients aged 65 to 74 years.

PATIENTS

Critically ill patients aged 65 years and older who required intensive care and who were recruited during a 3-month period.

MAIN OUTCOME MEASURES

Duration of hospitalization, hospital charges, procedures used in the intensive care unit, mortality in the hospital and during the follow-up period, and quality of life of survivors during the follow-up period.

RESULTS

Ninety-seven patients were included in the study; 54 were 75 years or older and 43 were aged 65 to 74 years. No significant difference was noted between the two groups for length of stay in the hospital, hospital charges, or mortality at 1 year. Severity of illness, as assessed by Acute Physiology and Chronic Health Evaluation score at the time of intensive care unit admission, was a better predictor of survival than age. Quality of life, as assessed by activities of daily living, perceived quality of life, and Center for Epidemiologic Studies-Depression score, were not significantly different in either group at 1, 6, and 12 months after discharge from the hospital. Most patients in both groups described their quality of life as adequate and were willing to receive intensive care again, if necessary.

CONCLUSION

Age alone is not an adequate predictor of long-term survival and quality of life in critically ill elderly patients.

Authors+Show Affiliations

Department of Anesthesiology/Critical Care Medicine, University of Pittsburgh Medical Center, PA 15213.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

8505814

Citation

Chelluri, L, et al. "Long-term Outcome of Critically Ill Elderly Patients Requiring Intensive Care." JAMA, vol. 269, no. 24, 1993, pp. 3119-23.
Chelluri L, Pinsky MR, Donahoe MP, et al. Long-term outcome of critically ill elderly patients requiring intensive care. JAMA. 1993;269(24):3119-23.
Chelluri, L., Pinsky, M. R., Donahoe, M. P., & Grenvik, A. (1993). Long-term outcome of critically ill elderly patients requiring intensive care. JAMA, 269(24), 3119-23.
Chelluri L, et al. Long-term Outcome of Critically Ill Elderly Patients Requiring Intensive Care. JAMA. 1993 Jun 23-30;269(24):3119-23. PubMed PMID: 8505814.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term outcome of critically ill elderly patients requiring intensive care. AU - Chelluri,L, AU - Pinsky,M R, AU - Donahoe,M P, AU - Grenvik,A, PY - 1993/6/23/pubmed PY - 1993/6/23/medline PY - 1993/6/23/entrez KW - Empirical Approach KW - Health Care and Public Health KW - Presbyterian University Hospital (Pittsburgh) KW - Professional Patient Relationship SP - 3119 EP - 23 JF - JAMA JO - JAMA VL - 269 IS - 24 N2 - OBJECTIVE: To evaluate the long-term mortality and morbidity of critically ill elderly patients requiring intensive care. DESIGN: Prospective comparison of outcome of critically ill patients aged 75 years and older with patients aged 65 to 74 years. PATIENTS: Critically ill patients aged 65 years and older who required intensive care and who were recruited during a 3-month period. MAIN OUTCOME MEASURES: Duration of hospitalization, hospital charges, procedures used in the intensive care unit, mortality in the hospital and during the follow-up period, and quality of life of survivors during the follow-up period. RESULTS: Ninety-seven patients were included in the study; 54 were 75 years or older and 43 were aged 65 to 74 years. No significant difference was noted between the two groups for length of stay in the hospital, hospital charges, or mortality at 1 year. Severity of illness, as assessed by Acute Physiology and Chronic Health Evaluation score at the time of intensive care unit admission, was a better predictor of survival than age. Quality of life, as assessed by activities of daily living, perceived quality of life, and Center for Epidemiologic Studies-Depression score, were not significantly different in either group at 1, 6, and 12 months after discharge from the hospital. Most patients in both groups described their quality of life as adequate and were willing to receive intensive care again, if necessary. CONCLUSION: Age alone is not an adequate predictor of long-term survival and quality of life in critically ill elderly patients. SN - 0098-7484 UR - https://www.unboundmedicine.com/medline/citation/8505814/Long_term_outcome_of_critically_ill_elderly_patients_requiring_intensive_care_ L2 - https://jamanetwork.com/journals/jama/fullarticle/vol/269/pg/3119 DB - PRIME DP - Unbound Medicine ER -