In this narrative review, we describe the most important age-related “syndromes” found in the old ICU patients. The syndromes are frailty, comorbidity, cognitive decline, malnutrition, sarcopenia, loss of functional autonomy, immunosenescence and inflam-ageing. The underlying geriatric condition, together with the admission diagnosis and the acute severity contribute to the short-term, but also to the long-term prognosis. Besides mortality, functional status and quality of life are major outcome variables. The geriatric assessment is a key tool for long-term qualitative outcome, while immediate severity accounts for acute mortality. A poor functional baseline reduces the chances of a successful outcome following ICU. This review emphasises the importance of using a geriatric assessment and considering the older patient as a whole, rather than the acute illness in isolation, when making decisions regarding intensive care treatment.
CITATION STYLE
Vallet, H., Guidet, B., Boumendil, A., De Lange, D. W., Leaver, S., Szczeklik, W., … Flaatten, H. (2023, December 1). The impact of age-related syndromes on ICU process and outcomes in very old patients. Annals of Intensive Care. Springer Science and Business Media Deutschland GmbH. https://doi.org/10.1186/s13613-023-01160-7
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