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Outcomes of Intensive Care Patients Older Than 90Years: An 11‐Year National Observational Study
BACKGROUND/OBJECTIVESMany intensive care unit (ICU) physicians are reluctant to admit patients aged 90 years and older, although evidence to support these decisions is scarce. Although the body of evidence on outcomes of patients aged 80 years and older is growing, it does not include patients aged...
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Published in: | Journal of the American Geriatrics Society (JAGS) 2020-08, Vol.68 (8), p.1842-1846 |
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Main Authors: | , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Online Access: | Get full text |
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Summary: | BACKGROUND/OBJECTIVESMany intensive care unit (ICU) physicians are reluctant to admit patients aged 90 years and older, although evidence to support these decisions is scarce. Although the body of evidence on outcomes of patients aged 80 years and older is growing, it does not include patients aged 90 years and older. The aim of this study was to compare the short‐ and long‐term mortality of ICU patients aged 90 years and older in the Netherlands with ICU patients aged 80 to 90 years, that is, octogenarians.DESIGNMulticenter national cohort study over an 11‐year period (2008‐2018), using data of the National Intensive Care Evaluation (NICE) registry and the Dutch insurance claims registry.SETTINGAll 82 ICUs in the Netherlands.PARTICIPANTSAll patients aged 80 years and older at the time of ICU admission.MEASUREMENTSA total of 104,754 patients aged 80 years and older, of whom 9,495 (9%) were 90 years and older, were admitted to Dutch ICUs during the study period.RESULTSICU mortality of the patients aged 90 years and older was lower (13.8% vs 16.1%; P |
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ISSN: | 0002-8614 1532-5415 |
DOI: | 10.1111/jgs.16624 |