Chelluri, L and Pinsky, MR and Grenvik, ANA
(1992)
Outcome of intensive care of the 'oldest-old' critically ill patients.
Critical Care Medicine, 20 (6).
757 - 761.
ISSN 0090-3493
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Abstract
Objective: To determine the short-term and long-term outcome of critically ill 'oldest-old' (≥85 yrs) patients. Design: Retrospective chart review and follow-up telephone interview. Setting: ICUs at a tertiary care hospital. Methods: The medical records of all patients ≥85 yrs of age admitted to the ICUs during 1988 were reviewed. Demographic information, severity of illness, major interventions, mortality rate, and hospital charges were examined. A follow-up telephone interview was conducted to determine the quality of life and mortality rate after discharge. Results: Of 34 patients ≥85 yrs of age admitted to the ICU, 21 (62%) survived to discharge from the hospital, and 13 (62%) of these 21 patients were discharged to home. Mean ± SD hospital charges were $34,738 ± 34,366. Seventeen of the 21 patients were contacted for long-term follow-up, and ten of these patients were alive at a mean follow-up time of 18 ± 10 months (range 1 to 32). Eight of the ten patients described their quality of life as fair or good. Conclusion: These findings suggest that age alone may be an inappropriate criterion for allocation of ICU resources.
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