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Outcome of intensive care of the 'oldest-old' critically ill patients

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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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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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Chelluri, L
Pinsky, MRpinsky@pitt.eduPINSKY0000-0001-6166-700X
Grenvik, ANAake@pitt.eduAKE
Date: 1 January 1992
Date Type: Publication
Journal or Publication Title: Critical Care Medicine
Volume: 20
Number: 6
Page Range: 757 - 761
DOI or Unique Handle: 10.1097/00003246-199206000-00010
Schools and Programs: School of Medicine > Critical Care Medicine
Refereed: Yes
ISSN: 0090-3493
PubMed ID: 1597028
Date Deposited: 24 Feb 2012 15:26
Last Modified: 30 Jan 2020 16:55


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