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Elderly patients aged 80 and over are increasingly admitted to intensive care units (ICUs). This growing demographic presents unique challenges due to geriatric syndromes, necessitating refined triage and care strategies.

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Area of Science:

  • Geriatric Medicine
  • Intensive Care Medicine
  • Epidemiology

Background:

  • The proportion of intensive care unit (ICU) admissions for patients aged 80 years and older has significantly increased.
  • This demographic is projected to become the largest subgroup in ICUs within two decades.
  • These patients are admitted for acute conditions, not solely due to age.

Purpose of the Study:

  • To review the epidemiology and outcomes of very old ICU patients (≥80 years).
  • To discuss the impact of geriatric syndromes on this patient population.
  • To explore future challenges in triage and care for elderly ICU patients.

Main Methods:

  • This is a review article, synthesizing existing knowledge.
  • It highlights current and future epidemiological trends.
  • It discusses the effects of geriatric syndromes like frailty and cognitive decline.

Main Results:

  • Very old ICU patients represent a substantial and growing patient group.
  • Geriatric syndromes significantly complicate care and contribute to high mortality.
  • Current triage criteria may be inadequate for this population.

Conclusions:

  • Care for very old ICU patients requires specialized approaches beyond age-based considerations.
  • Developing age-neutral triage criteria is crucial for equitable care.
  • Enhanced collaboration with geriatricians is recommended for improved patient outcomes and aftercare.