ArticleAnnals of intensive care2015
Clinical characteristics and outcome of very elderly patients ≥90 years in intensive care: a retrospective observational study.
Article in Annals of intensive care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
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Who cites it
36 citing papers in PubMed, 94 citations in OpenAlex.
- Admission creatinine and outcomes in very elderly critically ill patients: a retrospective cohort study.BMC geriatrics · 2026Article
- Impact of treatment goals on outcomes in critically ill nonagenarians: a retrospective observational study.BMC geriatrics · 2026Observational
- Characteristics and outcomes of diabetes emergencies in nonagenarians admitted to ICU: a binational retrospective cohort study.Frontiers in clinical diabetes and healthcare · 2026Article
- Age-related epidemiology and outcomes of sepsis in Japanese critical care units: a nationwide administrative claims database study.Journal of intensive care · 2025Article
- "Geriatric patients in Argentinean ICUs: admission, care patterns, outcomes and healthcare system implications".BMC geriatrics · 2025Observational
- Prognostic Value of Blood Urea Nitrogen to Albumin Ratio in Elderly Critically Ill Patients with Acute Kidney Injury: A Retrospective Study.Medicina (Kaunas, Lithuania) · 2025Article
- Characteristics, outcomes, and complications among nonagenarian and centenarian patients admitted to the intensive care unit: a scoping review.Critical care (London, England) · 2025Article
- Protruding and Ulcerated Aortic Atheromas as Predictors of Periprocedural Ischemic Stroke Post-Transcatheter Aortic Valve Replacement.JACC. Asia · 2025Article
- Impact of frailty and older age on weaning from invasive ventilation: a secondary analysis of the WEAN SAFE study.Annals of intensive care · 2025Article
- Prolonged intensive care therapy in nonagenarians admitted to the intensive care unit-clinical characteristics, risk factors and outcomes.Frontiers in medicine · 2025Article
- Intensive care unit cardiac arrest among very elderly critically ill patients - is cardiopulmonary resuscitation justified?Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Outcomes in very elderly ICU patients surgically treated for proximal femur fractures.Scientific reports · 2024Article
- Utilization of interpretable machine learning model to forecast the risk of major adverse kidney events in elderly patients in critical care.Renal failure · 2023Article
- Outcomes of Octogenarians and Nonagenarians in a Contemporary Cardiac Care Unit - Insights From 2,242 Patients Admitted Between 2019 and 2021.Circulation reports · 2023Article
- Association between Red Cell Distribution Width and Outcomes of Nonagenarians Admitted to the Intensive Care Unit-A Retrospective Cohort Study.Diagnostics (Basel, Switzerland) · 2023Article
- Nonagenarians admission and prognosis in a tertiary center intensive coronary care unit - a prospective study.BMC geriatrics · 2023Article
- Management and outcomes in critically ill nonagenarian versus octogenarian patients.BMC geriatrics · 2021Article
- Clinical Features and Outcomes of Very Elderly Patients Admitted to the Intensive Care Unit: A Retrospective and Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021Article
- Clinical characteristics and outcomes of mechanically ventilated elderly patients in intensive care units: a Chinese multicentre retrospective study.Journal of thoracic disease · 2021Article
- Poor outcomes of delirium in the intensive care units are amplified by increasing age: A retrospective cohort study.World journal of emergency medicine · 2021Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince the overall prognosis of very elderly patients is generally limited, admissions to intensive care in these patients are often restricted. Therefore, only very few information is available on the prognosis of nonagenarians after intensive care treatment. The aim of this study was to analyze the clinical characteristics and outcomes of very elderly patients (≥90 years) admitted to an intensive care unit (ICU).
methodsMonocentric, retrospective observational study of all patients aged ≥90 years admitted to the Department of Intensive Care Medicine with a total capacity of 132 ICU beds at the University Medical Center Hamburg in Germany between January 2008 and June 2013. A multivariate Cox regression analysis was used to identify risk factors for 28-day outcome.
resultsA total of 372 patients ≥90 years of age were admitted to one of the departments ICUs. The majority of patients (66.7 %) were admitted as an emergency admission, of which half underwent unscheduled surgery. 39.8 % of patients required support by mechanical ventilation and vasoactive drugs, and 1.9 % of patients received renal replacement. ICU and hospital mortality rates were 18.3 and 30.9 %, respectively. Overall survival at 1 year after hospital discharge was 34.9 %. Multivariate Cox regression analysis revealed creatinine, bilirubin, age, and necessity of catecholamines as independent risk factors and scheduled surgery as protective factor for 28-day outcome.
conclusionNearly 70 % of patients aged ≥90 years were discharged alive from hospital following treatment at the ICU, and more than half of them were still alive 1 year after their discharge. The results suggest that 1-year survival prognosis of very old ICU patients is not as poor as often perceived and that age per se should not be an exclusion criterion for ICU admission.
trial registrationWF-0561/13.
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