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The elderly and intensive care medicine 

The elderly and intensive care medicine
Chapter:
The elderly and intensive care medicine
Author(s):

Richard Keays

and Neil Soni

DOI:
10.1093/med/9780199604999.003.0018
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date: 20 August 2019

This chapter reviews the changing use of intensive care facilities by the elderly across the world and the possible reasons for the differences seen. It then comprehensively reviews the organ-specific and functional reserve changes with ageing that affect intensive care outcome. The need for organ support strategies increases with age and this is explored in each system. The chapter then reviews the more generic aspects of importance including pharmacology and the issues of drug-related problems and those due to drugs being inadvertently discontinued. Outcome from admission is reviewed and the data for the elderly presented and the lack of quality of life after intensive care admission is identified. Assessment for admission, including the factors that influence discharge to home are covered, and decisions on treatment intensity and expectations are explored before a discussion on end-of-life care.

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