ReviewIntensive care medicine2024
The trajectory of very old critically ill patients.
Review in Intensive care medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
50 citing papers in PubMed.
- Admission characteristics and factors associated with outcomes in elderly patients aged 75 years and older in a level 3 ICU in Nepal: a 4-year registry-based retrospective study.Acute and critical care · 2026Article
- Critical care of the very old, what needs to be done?European geriatric medicine · 2026Review
- Intensive care under uncertainty: a qualitative study of how older patients and their relatives wish to contribute to decision-making.European geriatric medicine · 2026Observational
- Patterns of medical intermediate care unit use in critically ill very old patients in France.European geriatric medicine · 2026Article
- Impact of hospitalization in an acute geriatric ward after ICU discharge for patients aged 80 and over: a cohort study.European geriatric medicine · 2026Article
- A cross-sectional analysis of multidimensional clinical profiles of older adults engaged in structured post-ICU follow-up: age is not the whole story.European geriatric medicine · 2026Article
- Creation of a dedicated post-intensive care geriatric unit (PIGU), proof of concept and preliminary results.European geriatric medicine · 2026Article
- End-of-life decision-making in very old critically ill patients.European geriatric medicine · 2026Review
- Institutional Variation in Life-Sustaining Treatments and Mortality Among Older Patients.JAMA health forum · 2026Article
- Rethinking functional recovery in older ICU survivors.Intensive care medicine · 2026Article
- Multicenter validation and updating of the ELDER-ICU model for severity assessment in elderly critical illness.NPJ digital medicine · 2026Article
- Critical illness at extreme age: outcomes and clinical characteristics of centenarian ICU admissions in Australia and New Zealand.Critical care (London, England) · 2026Article
- Pre-ICU hospital length of stay and 30-day mortality in the very old: a national cohort of 315 042 ICU admissions.Annals of intensive care · 2026Article
- End-of-life care planning and one-year outcomes in intensive care unit patients aged 80 years and older: a single-center cohort study.Critical care science · 2026Article
- Characterizing ICU-like profiles of very old patients hospitalized in medical intermediate care units in France: A clustering analysis of a nationwide population-based study.Annals of intensive care · 2026Article
- Challenges and strategies in the care of older adults across the continuum of intensive and post-intensive care medicine.Intensive care medicine · 2026Review
- Long-term frailty trajectory in older ICU survivors requiring mechanical ventilation: a prospective cohort study in Norway.Annals of intensive care · 2026Article
- Pre-ICU length of stay in very old patients: interpreting prognosis within the ICU admission pathway.Annals of intensive care · 2026Article
- Access to and perceived value of post-ICU follow-up: an international cross-sectional survey of ICU professionals and adult critical illness survivors.Annals of intensive care · 2026Article
- Clinical Characteristics and Outcomes in Patients Aged ≥80 Years Treated in the Intensive Care Units of a Large Multispecialty Metropolitan Hospital in Poland.Journal of clinical medicine · 2025Article
Corrections and comments
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The demographic shift, together with financial constraint, justify a re-evaluation of the trajectory of care of very old critically ill patients (VIP), defined as older than 80 years. We must avoid over- as well as under-utilisation of critical care interventions in this patient group and ensure the inclusion of health care professionals, the patient and their caregivers in the decision process. This new integrative approach mobilises expertise at each step of the process beginning prior to intensive care unit (ICU) admission and extending to long-term follow-up. In this review, several international experts have contributed to provide recommendations that can be universally applied. Our aim is to define a minimum core dataset of information to be shared and discussed prior to ICU admission and to facilitate the shared-decision-making process with the patient and their caregivers, throughout the patient journey. Documentation of uncertainty may contribute to a tailored level of care and ultimately to discussions around possible limitations of life sustaining treatments. The goal of ICU care is not only to avoid death, but more importantly to maintain an acceptable quality of life and functional autonomy after hospital discharge. Societal consideration is important to highlight, together with alternatives to ICU admission. We discuss challenges for the future and potential areas of research. In summary, this review provides a state-of-the-art current overview and aims to outline future directions to address the challenges in the treatment of VIP.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.