Show Summary Details
Page of

Intensive care and the elderly 

Intensive care and the elderly
Chapter:
Intensive care and the elderly
Author(s):

Chris Dodds

, Chandra M. Kumar

, and Frédérique Servin

DOI:
10.1093/med/9780198735571.003.0012
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 12 November 2019

Age is not an independent predictor for poor outcome from intensive care. This chapter reviews admission criteria for the elderly and the assessment of likely outcome including the differences between traumatic or surgical admissions against medical ones. Pre-existing comorbidities all limit functional recovery, and only about 60% of elderly patients get back to their preadmission level of activity, although this may not detract from their perceived quality of life. Potential bias in the use of quality-of-life measures by clinical staff is discussed. Information on the identification of futility and the move to either palliation or withdrawal of support is discussed. Complications are common in the intensive-care patient population, and the reasons that they may be irreversible in the elderly are reviewed. The limitation of care, the use of advanced directives, and the assessment of legal capacity are reviewed.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.