ArticlePloS one2018
Critically ill elderly patients (≥ 90 years): Clinical characteristics, outcome and financial implications.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Invasive ventilation and mortality in critically ill nonagenarians: a retrospective cohort study.European journal of medical research · 2026Article
- Trends in admission, resource use and outcomes among elderly patients admitted to an intensive care unit in China.PloS one · 2026Article
- Characteristics and outcomes of diabetes emergencies in nonagenarians admitted to ICU: a binational retrospective cohort study.Frontiers in clinical diabetes and healthcare · 2026Article
- Characteristics, outcomes, and complications among nonagenarian and centenarian patients admitted to the intensive care unit: a scoping review.Critical care (London, England) · 2025Article
- Rhabdomyolysis in intensive care unit-distinctive clinical indicators and prognosis.BMC anesthesiology · 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
- Utilization and outcomes of life-supporting interventions in older ICU patients in Japan: a nationwide registry study.Intensive care medicine · 2025Article
- Clinical characteristics and outcome of very old (≥90 years) critically ill patients with need for intensive care after surgical intervention.Frontiers in medicine · 2025Article
- Nomogram for predicting in-hospital mortality of nonagenarians with community-acquired pneumonia.Geriatrics & gerontology international · 2022Article
- Association between early elevated phosphate and mortality among critically ill elderly patients: a retrospective cohort study.BMC geriatrics · 2022Article
- Geriatric Nutritional Risk Index is Associated with Hospital Death in Elderly Patients with Multiple Organ Dysfunction Syndrome: A Retrospective Study Based on the MIMIC-III Database.Frontiers in nutrition · 2022Article
- Prognostic factors for 30-days mortality in eighty years aged and older critically ill patients: a single center retrospective cohort studyTurkish journal of medical sciences · 2021Article
- Clinical characteristics and outcomes of mechanically ventilated elderly patients in intensive care units: a Chinese multicentre retrospective study.Journal of thoracic disease · 2021Article
- Epidemiology and outcomes of elderly patients requiring renal replacement therapy in the intensive care unit: an observational study.BMC nephrology · 2021Observational
- Clinical characteristics and cost of hospital stay of octogenarians and nonagenarians in intensive care nephrology unit.International urology and nephrology · 2021Article
- Natural enemy or friend? Pneumonia in the very elderly critically ill patient.European respiratory review : an official journal of the European Respiratory Society · 2020Article
- Community-acquired pneumonia in critically ill very old patients: a growing problem.European respiratory review : an official journal of the European Respiratory Society · 2020Review
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients aged over 90 are being admitted to intensive care units (ICUs) with increasing frequency. The appropriateness of such decisions still remains controversial due to questionable outcome, limited resources and costs. Our objective was to determine the clinical characteristics and outcome in elderly patients (≥ 90 years) admitted in a medical ICU, with an additional focus on medico-economic implications.
methodsWe reviewed the charts of all patients (≥ 90 years) admitted to our ICU. We compared them with all other ICU patients (< 90 years), sought to identify ICU mortality predictors and also performed a long-term survival follow-up.
resultsIn the study group of 317 stays: median age was 92 years (IQR: 91-94 years); most patients were female (71.3%.). Acute respiratory failure (52.4%) was the main admission diagnosis; mean SAPS II was 55.6±21.3; half the stays (49.2%) required mechanical ventilation (duration: 7.2±8.8 days); withholding and withdrawing decisions were made for 33.4% of all stays. ICU and hospital mortality rates were 35.7% and 42.6% respectively. Mechanical ventilation (OR = 4.83, CI95%: 1.59-15.82) was an independent predictor of ICU mortality whereas age was not (OR = 0.88, CI95%: 0.72-1.08). Social security reimbursement was significantly lower in the study group compared with all other ICU stays, both per stay (13,160 vs 22,092 Euros, p< 0.01) and per day of stay (p = 0.03).
conclusionAmong critically ill elderly patients (≥ 90 years), chronological age was not an independent factor of ICU mortality. ICU care-related costs in this population should not be considered as a limiting factor for ICU admission.
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