Attitudes of physicians towards the care of critically ill elderly patients - a European survey

Acta Anaesthesiologica Scandinavica
Bertrand GuidetH Flaatten

Abstract

Very elderly patients are one of the fastest growing population in ICUs worldwide. There are lots of controversies regarding admission, discharge of critically ill elderly patients, and also on treatment intensity during the ICU stay. As a consequence, practices vary considerably from one ICU to another. In that perspective, we collected opinions of experienced ICU physicians across Europe on statements focusing on patients older than 80. We sent an online questionnaire to the coordinator ICU physician of all participating ICUs of an recent European, observational study of Very old critically Ill Patients (VIP1 study). This questionnaire contained 12 statements about admission, triage, treatment and discharge of patients older than 80. We received answers from 162 ICUs (52% of VIP1-study) spanning 20 different European countries. There were major disagreements between ICUs. Responders disagree that: there is clear evidence that ICU admission is beneficial (37%); seeking relatives' opinion is mandatory (17%); written triage guidelines must be available either at the hospital or ICU level (20%); level of care should be reduced (25%); a consultation of a geriatrician should be sought (34%) and a geriatrician should be part of the ...Continue Reading

References

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Citations

Jan 23, 2018·Intensive Care Medicine·Bertrand GuidetHans Flaatten
Apr 13, 2019·Journal of the American Geriatrics Society·Dylan W de LangeUNKNOWN VIP1 Study Group
Nov 28, 2018·Annals of Intensive Care·Bertrand GuidetHans Flaatten
Aug 11, 2020·Seminars in Respiratory and Critical Care Medicine·Hans FlaattenBertrand Guidet
Apr 6, 2021·Aging and Disease·Xin DingUNKNOWN Chinese Critical Ultrasound Study Group
Aug 25, 2021·Annals of Surgical Oncology·Bourke W TillmannUNKNOWN and members of the REcovery after Surgical Therapy for Older adults Research—Cancer (RESTORE-C) group

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