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Review
. 2019 Sep;37(3):537-546.
doi: 10.1016/j.anclin.2019.04.011. Epub 2019 Jun 5.

Supporting the Geriatric Critical Care Patient: Decision Making, Understanding Outcomes, and the Role of Palliative Care

Aaron Mittel  1 , May Hua  2
Affiliations
Review

Supporting the Geriatric Critical Care Patient: Decision Making, Understanding Outcomes, and the Role of Palliative Care

Aaron Mittel et al. Anesthesiol Clin. 2019 Sep.

Abstract

Geriatric admissions to the intensive care unit (ICU) are common and require unique considerations for ICU clinicians. Admission to the ICU should be considered on an individual-patient basis. It is reasonable to consider a "trial of critical care" for many patients, even those who have uncertain chances of meaningful recovery. Quality of life and functional independence are especially important to older adults, and these outcomes should be considered when weighing the risks and benefits of admission or continuing ICU care.

Keywords: Critical care; Quality of life; Risk assessment; Uncertainty.

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