ArticleAnnals of intensive care2016
Treatment intensity and outcome of nonagenarians selected for admission in ICUs: a multicenter study of the Outcomerea Research Group.
Article in Annals of intensive care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 23 citations in OpenAlex.
- Impact of hospitalization in an acute geriatric ward after ICU discharge for patients aged 80 and over: a cohort study.European geriatric medicine · 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
- Prognosis of Nonagenarian ICU Patients A Bayesian analysis of prospective European studies.Annals of intensive care · 2025Article
- Characteristics, outcomes, and complications among nonagenarian and centenarian patients admitted to the intensive care unit: a scoping review.Critical care (London, England) · 2025Article
- Characteristics, outcomes and complications among nonagenarians and centenarians admitted to intensive care: a scoping review protocol.BMJ open · 2025Article
- Prolonged intensive care therapy in nonagenarians admitted to the intensive care unit-clinical characteristics, risk factors and outcomes.Frontiers in medicine · 2025Article
- Improved performance of an intensive care unit after changing the admission triage model.Scientific reports · 2023Article
- Premorbid functional status as an outcome predictor in intensive care patients aged over 85 years.BMC geriatrics · 2022Observational
- Selection and Receipt of Kidney Replacement in Critically Ill Older Patients with AKI.Clinical journal of the American Society of Nephrology : CJASN · 2019Article
- Ten-year trends in intensive care admissions for respiratory infections in the elderly.Annals of intensive care · 2018Article
- The golden hour of acute ischemic stroke.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017Article
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Authors and funding
17 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOutcome of very elderly patients admitted in intensive care unit (ICU) was most often reported for octogenarians. ICU admission demands for nonagenarians are increasing. The primary objective was to compare outcome and intensity of treatment of octogenarians and nonagenarians.
methodsWe performed an observational study in 12 ICUs of the Outcomerea™ network which prospectively upload data into the Outcomerea™ database. Patients >90 years old (case patients) were matched with patients 80-90 years old (control patients). Matching criteria were severity of illness at admission, center, and year of admission.
resultsA total of 2419 patients aged 80 or older and admitted from September 1997 to September 2013 were included. Among them, 179 (7.9 %) were >90 years old. Matching was performed for 176 nonagenarian patients. Compared with control patients, case patients were more often hospitalized for unscheduled surgery [54 (30.7 %) vs. 42 (23.9 %), p < 0.01] and had less often arterial monitoring for blood pressure [37 (21 %) vs. 53 (30.1 %), p = 0.04] and renal replacement therapy [5 (2.8 %) vs. 14 (8 %), p = 0.05] than control patients. ICU [44 (25 %) vs. 36 (20.5 %), p = 0.28] or hospital mortality [70 (39.8 %) vs. 64 (36.4 %), p = 0.46] and limitation of life-sustaining therapies were not significantly different in case versus control patients, respectively. Only 16/176 (14 %) of case patients were transferred to a geriatric unit.
conclusionThis multicenter study reported that nonagenarians represented a small fraction of ICU patients. When admitted, these highly selected patients received similar life-sustaining treatments, except RRT, than octogenarians. ICU and hospital mortality were similar between the two groups.
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