Department of Intensive Care, Erasme University Hospital, Université libre de Bruxelles, Brussels, Belgium.
J Intern Med. 2022 Apr;291(4):458-468. doi: 10.1111/joim.13371. Epub 2021 Oct 5.
Life expectancy is rising worldwide and increasing numbers of elderly patients are being admitted to the intensive care unit (ICU). Because ageing is associated with changes in organ function, increased frailty, reduced activities of daily living, reduced mobility, and reduced cognition, elderly patients represent a particular subgroup of ICU patients. Ethical decisions related to the appropriateness of intensive care and/or life-sustaining interventions, the withdrawing and withholding of life support, and terminal sedation are more frequent in these patients and will be discussed in this review. Such decisions must be tailored to the individual to take into consideration personal beliefs and wishes.
全球预期寿命正在延长，越来越多的老年患者被收入重症监护病房（ICU）。由于衰老与器官功能变化、脆弱性增加、日常生活活动减少、活动能力降低和认知能力降低有关，老年患者是 ICU 患者的一个特殊亚组。与重症监护和/或生命支持干预的适当性、生命支持的撤回和停止，以及终末期镇静有关的伦理决策在这些患者中更为常见，本综述将对此进行讨论。这些决策必须根据个人情况进行调整，以考虑到个人的信仰和意愿。
