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Geriatric intensive care--indication and contraindication

O R Gsell

    Gerontology
    |January 1, 1977
    PubMed
    Summary

    Elderly patients, including those over 65 and 75, are frequently admitted to intensive care units (ICUs). Old age itself is not a reason to deny intensive care; medical condition is the key factor.

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    Area of Science:

    • Gerontology
    • Critical Care Medicine

    Background:

    • Intensive care unit (ICU) admissions data from Switzerland and Germany in 1973 were analyzed.
    • A significant proportion of ICU patients were elderly (65+ years).

    Purpose of the Study:

    • To evaluate the role of age in intensive care admissions.
    • To determine if advanced age is a contraindication for intensive care.

    Main Methods:

    • Statistical analysis of ICU admission data from multiple centers.
    • Review of patient demographics, diagnoses, and outcomes.

    Main Results:

    • One-third of Swiss ICU admissions were patients aged 65+, with 11% being 75+.
    • Circulatory diseases were prevalent in older ICU patients (nearly 50%).
    • 64% of elderly patients in a Bern ICU experienced good outcomes 6 months post-discharge.

    Conclusions:

    • Advanced age is not a contraindication for intensive care.
    • Indications for intensive care should be based on diagnosis and therapeutic potential, not chronological age.
    • Intensive care is always indicated in acute intoxication, regardless of age.

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