Wood Kelly A, Ely E Wes
Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA.
Curr Opin Crit Care. 2003 Aug;9(4):316-20. doi: 10.1097/00075198-200308000-00011.
The number of critically ill elderly continues to rise, causing health care workers to be faced with decisions regarding aggressiveness of care, rationing of resources, and optimizing outcome. Although survival rates in the critically ill elderly may be lower than those in the younger critically ill, health care workers must focus on customizing treatment to optimize physiologic recovery, quality of life, and functional status. We advocate better research designs incorporating long-term outcomes and genetic predisposition as a means of improving care in the elderly critically ill.
重症老年患者的数量持续上升，这使得医护人员面临有关积极治疗、资源分配以及优化治疗结果的决策。尽管重症老年患者的生存率可能低于年轻重症患者，但医护人员必须专注于个性化治疗，以优化生理恢复、生活质量和功能状态。我们提倡采用更好的研究设计，纳入长期结果和遗传易感性，以此作为改善老年重症患者护理的一种手段。
