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老年患者的重症监护——过度治疗与治疗不足之间的微妙平衡。

Intensive care of geriatric patients-a thin line between under- and overtreatment.

机构信息

Chair for Geriatrics and Day-Care Hospital, University of Witten/Herdecke, Dr.-Moeller-Str. 15, 58332, Schwelm, Germany.

Geriatric Clinic, Schwelm, Germany.

出版信息

Wien Med Wochenschr. 2022 Apr;172(5-6):102-108. doi: 10.1007/s10354-021-00902-1. Epub 2022 Jan 10.

Abstract

Demographic developments are leading to an ever-increasing proportion of elderly and aged patients in hospitals at all levels of care, and even more patients from these age groups are to be expected in the future. Based on the projected population development, e.g., in Norway, an increase in intensive care beds of between 26 and 37% is expected by 2025. This poses special challenges for the treatment and management of geriatric intensive care patients. The acute illness is not the only decisive factor, but rather the existing multimorbidity and functional limitations of this vulnerable patient group must likewise be taken into account. Age per se is not the sole determinant of prognosis in critical patients, even though mortality increases with age.

摘要

人口结构的发展导致各级医疗机构中老年人和老年患者的比例不断增加,预计未来这些年龄段的患者会更多。基于预测的人口发展,例如,在挪威,到 2025 年,重症监护病床预计将增加 26%至 37%。这对老年重症监护患者的治疗和管理提出了特殊挑战。急性疾病并不是唯一的决定因素,而是这一脆弱患者群体的现有多种合并症和功能限制也必须考虑在内。年龄本身并不是危重症患者预后的唯一决定因素,尽管随着年龄的增长,死亡率会增加。

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