Appropriate care for the elderly in the ICU

Life expectancy is rising worldwide and increasing numbers of elderly patients are being admitted to the intensive care unit (ICU). Because ageing is associated with changes in organ function, increased frailty, reduced activities of daily living, reduced mobility, and reduced cognition, elderly pat...

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Bibliographic Details
Published in:Journal of internal medicine 2022-04, Vol.291 (4), p.458-468
Main Authors: Vincent, Jean‐Louis, Creteur, Jacques
Format: Article
Language:English
Subjects:
Activities of Daily Living
Aged
ageing
Aging
autonomy
Cognition
Critical Care
Decisions
distributive justice
end‐of‐life
Ethical standards
frailty
Geriatrics
Hospitalization
Humans
ICU admission
Intensive care
Intensive Care Units
Life expectancy
Life span
Older people
proportional care
Subgroups
terminal sedation
withdrawing
withholding
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Summary:Life expectancy is rising worldwide and increasing numbers of elderly patients are being admitted to the intensive care unit (ICU). Because ageing is associated with changes in organ function, increased frailty, reduced activities of daily living, reduced mobility, and reduced cognition, elderly patients represent a particular subgroup of ICU patients. Ethical decisions related to the appropriateness of intensive care and/or life‐sustaining interventions, the withdrawing and withholding of life support, and terminal sedation are more frequent in these patients and will be discussed in this review. Such decisions must be tailored to the individual to take into consideration personal beliefs and wishes. Content List – This is an article from the symposium: “When is too much too much and too little too little: Scientific evidence of limited workup”.
ISSN:0954-6820
1365-2796
DOI:10.1111/joim.13371