Guidet Bertrand, Thomas Caroline, Patron Dominique, N'Guyend Yen Lan
Service de réanimation, réanimation médicale, AP-HP, Hôpital Saint-Antoine,
Service unité de gériatrie aiguë, AP-HP, Hôpital Saint-Antoine, Paris Cedex 12, France.
Soins Gerontol. 2013 Nov-Dec(104):24-8.
The absence of formal documentation on the benefits of intensive care for elderly people explains the lack of standardised practices while their numbers are increasing in intensive care departments. The improved prognosis of acute pathologiesjustifyingtheir admission to intensive care units requires a multi-disciplinary approach and an optimisation of all the care structures upstream and downstream of a stay in intensive care. This must be based on the collective definition of the care pathway for these elderly patients requiring instead of in an intensive care unit.
缺乏关于重症监护对老年人益处的正式文件,这解释了为何在重症监护病房中老年人数量不断增加的情况下,却缺乏标准化的做法。急性病症预后的改善证明了他们入住重症监护病房的合理性,这需要采取多学科方法,并优化重症监护期间上游和下游的所有护理结构。这必须基于对这些需要入住而非在重症监护病房接受治疗的老年患者护理路径的集体定义。