Intensive care for critically ill elderly: mortality, costs, and quality of life. Review of the literature.
The literature on outcomes of intensive care for the elderly with regard to intensive care unit utilization, mortality, hospital costs and charges, and quality of life after intensive care were reviewed. Publications in the English literature, which evaluated intensive care and included elderly populations, were obtained from review of Index Medicus and MEDLINE. We conclude that age alone is not an acceptable predictor of critical illness with regard to mortality and quality of life of survivors. A therapeutic trial and appropriately discontinuing life support may lead to better utilization of intensive care. Additional data are needed on long-term mortality and quality of life after hospital discharge.
Chelluri
L
L
Department of Anesthesiology, University of Pittsburgh (Pa) School of Medicine, USA.
Grenvik
A
A
Silverman
M
M
D000368:Aged; D002170:Canada; D017281:Cost of Illness; D003422:Critical Care / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D005060:Europe; D006291:Health Policy; D006299:Health Services for the Aged / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D007362:Intensive Care Units / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D038622:Internationality; D017063:Outcome Assessment, Health Care; D018579:Patient Selection; D011788:Quality of Life; D040841:Resource Allocation; D012121:Respiration, Artificial; D014481:United States; D028761:Withholding Treatment