Michels Guido, Sieber Cornel C, Marx Gernot, Roller-Wirnsberger Regina, Joannidis Michael, Müller-Werdan Ursula, Müllges Wolfgang, Gahn Georg, Pfister Roman, Thürmann Petra A, Wirth Rainer, Fresenborg Jana, Kuntz Ludwig, Simon Steffen T, Janssens Uwe, Heppner Hans Jürgen
Klinik III für Innere Medizin, Herzzentrum, Universität zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
Institut für Biomedizin des Alterns, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Deutschland.
Z Gerontol Geriatr. 2019 Aug;52(5):440-456. doi: 10.1007/s00391-019-01584-6.
The proportion of elderly, frail, and multimorbid people has increased dramatically in recent decades resulting from demographic changes and will further increase, which will impact acute medical care. Prospective, randomized studies on geriatric intensive care are still lacking. There are also no international or national recommendations regarding the management of critically ill elderly patients. Based on an expert opinion, this consensus paper provides 16 statements that should be considered when dealing with geriatric critical care patients.
近几十年来,由于人口结构变化,老年人、体弱多病者以及患有多种疾病的人群比例急剧上升,且这一比例还将进一步增加,这将对急性医疗护理产生影响。目前仍缺乏关于老年重症监护的前瞻性随机研究。对于重症老年患者的管理,也没有国际或国内的相关建议。基于专家意见,本共识文件提供了16条在处理老年重症患者时应予以考虑的声明。