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Intensive Care Medicine

Erschienen in:

30.10.2017 | Editorial

Frailty in the age of VIPs (very old intensive care patients)

verfasst von: Carmel Montgomery, Sean M. Bagshaw

Erschienen in: Intensive Care Medicine | Ausgabe 12/2017

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Excerpt

Frailty, a multi-system decline in health status resulting from the cumulative impairment of homeostatic reserve (i.e., energy, physical ability, cognition), is increasingly recognized as an important prognostic determinant of outcome among critically ill populations [1‐3]. Frailty predisposes to disproportionate and heightened vulnerability to adverse outcomes from acute stressors such as infection, surgery, or trauma. As many as one-third of adult critically ill patients admitted to the intensive care unit (ICU) have been shown to be screened as frail, with the prevalence increasing with older age [1, 2, 4]. …

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Brummel NE, Bell SP, Girard TD, Pandharipande PP, Jackson JC, Morandi A, Thompson JL, Chandrasekhar R, Bernard GR, Dittus RS et al (2017) Frailty and subsequent disability and mortality among patients with critical illness. Am J Respir Crit Care Med 196:64–72CrossRefPubMed

Le Maguet P, Roquilly A, Lasocki S, Asehnoune K, Carise E, Saint Martin M, Mimoz O, Le Gac G, Somme D, Cattenoz C et al (2014) Prevalence and impact of frailty on mortality in elderly ICU patients: a prospective, multicenter, observational study. Intensive Care Med 40:674–682PubMed

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Flaatten H, De Lange DW, Morandi A, Andersen FH, Artigas A, Bertolini G, Boumendil A, Cecconi M, Christensen S, Faraldi L et al (2017) The impact of frailty on ICU and 30-day mortality and the level of care in very elderly patients (≥ 80 years). Intensive Care Med. https://doi.org/10.1007/s00134-017-4940-8

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10.

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11.

Muscedere J, Andrew MK, Bagshaw SM, Estabrooks C, Hogan D, Holroyd-Leduc J, Howlett S, Lahey W, Maxwell C, McNally M et al (2016) Screening for frailty in Canada’s Health Care System: a time for action. Can J Aging 35:281–297CrossRefPubMed

Titel: Frailty in the age of VIPs (very old intensive care patients)
verfasst von: Carmel Montgomery
Sean M. Bagshaw
Publikationsdatum: 30.10.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Intensive Care Medicine / Ausgabe 12/2017
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-017-4974-y

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