Coutaz Martial
Service de gériatrie du Valais romand, Hôpital du Valais, 1920 Martigny.
Rev Med Suisse. 2020 Nov 11;16(714):2160-2164.
What are the criteria for admitting an elderly polymorbid patient to intensive care ? The multidimensional geriatric evaluation is a tool to screen for geriatric syndromes, with the division of elderly patients into 3 categories: robust, vulnerable and dependent. Targeting certain co-morbidities such as cognitive disorders, delirium, frailty, polymedication and malnutrition, allows clinicians to estimate the risks of mortality and functional and cognitive handicaps during a stay in intensive care. Based on a review of the literature, this article offers some guidelines for triage of older patients for admission to intensive care, using an ethical, multidisciplinary approach that takes into account the patient's fears and preferences.
老年多病症患者入住重症监护病房的标准是什么？多维度老年评估是一种筛查老年综合征的工具，可将老年患者分为3类：强健型、脆弱型和依赖型。针对某些共病，如认知障碍、谵妄、虚弱、多重用药和营养不良，临床医生可以评估患者在重症监护期间的死亡风险以及功能和认知障碍风险。基于文献综述，本文采用考虑患者恐惧和偏好的伦理、多学科方法，为老年患者入住重症监护病房的分诊提供了一些指导原则。
