The wave of very old people in the intensive care unit-A challenge

Journal of critical care · Dec 2020

The wave of very old people in the intensive care unit-A challenge in decision-making.

In this paper the authors express the opinion that there is much to be learned about the 80+ year old age group as it relates to critical care and end-of-life matters. We need to learn how to better predict outcome, we need to learn our limitations and deal with uncertainties, we need to better communicate with our elderly patients and their caregivers and we need to engage with our colleagues in Geriatrics. There is a wave of very old people arriving in the intensive care unit and we have much to do to prepare for it and for the ethical, fair and appropriate care of these critically ill, but elderly, patients.

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- Peter Vernon van Heerden, Sigal Sviri, Michael Beil, Wojciech Szczeklik, Dylan de Lange, Christian Jung, Bertrand Guidet, Susannah Leaver, Andrew Rhodes, Ariane Boumendil, and Hans Flaatten.
- General Intensive Care Unit, Hadassah-Hebrew University Hospital, Jerusalem, Israel. Electronic address: vernon@hadassah.org.il.
- J Crit Care. 2020 Dec 1; 60: 290-293.
AbstractIn this paper the authors express the opinion that there is much to be learned about the 80+ year old age group as it relates to critical care and end-of-life matters. We need to learn how to better predict outcome, we need to learn our limitations and deal with uncertainties, we need to better communicate with our elderly patients and their caregivers and we need to engage with our colleagues in Geriatrics. There is a wave of very old people arriving in the intensive care unit and we have much to do to prepare for it and for the ethical, fair and appropriate care of these critically ill, but elderly, patients.Copyright © 2020 Elsevier Inc. All rights reserved.

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The wave of very old people in the intensive care unit-A challenge in decision-making.

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