Trauma Center, Peking University People's Hospital, National Center for Trauma Medicine, Key Laboratory of Trauma and Neural Regeneration (Ministry of Education), Beijing, China.
Medicine (Baltimore). 2024 Sep 20;103(38):e39754. doi: 10.1097/MD.0000000000039754.
As the population ages, there will be an increasing demand for health care resources, particularly in intensive care. Therefore, critically ill older adults are receiving increasing attention and have been extensively studied. However, the research landscape, dynamic patterns, and emerging topics in this area have scarcely been reviewed. This study aimed to delve into the current status and emerging trends (publication volume and research topics) in critical care for older adults (including interventions, outcomes, and complications) using bibliometric analysis. We retrieved original articles and reviews focusing on critical care for older adults published between 2013 and 2022 from the Web of Science core database. To examine and present the research trends, we employed VOSviewer and CiteSpace software for analysis and visualization. The cooperative network of countries and institutions, cocited authorship network, cocited references, and cooccurrence network of keywords were analyzed. Overall, 6356 articles and reviews published between 2013 and 2022 were analyzed, revealing a noticeable upward trend in the number of publications focused on critical care for older adults. In total, 34,654 authors from 7989 institutions across 131 countries collaborated to publish 6356 papers related to critical care for older adults in 1715 academic journals. The United States of America and China were the top contributors in terms of research studies, while Bertrand Guidet was the most prolific author with the highest number of articles. A dual-map overlay of the literature revealed that research papers published in Molecular/Biology/Genetics and Health/Nursing/Medicine journals were frequently referenced in Medicine/Medical/Clinical journals. Older patients with coronavirus disease 2019, delirium, and frailty were new trends and developing areas of interest. This is the first bibliometric study focusing on critical care in older adults. The research topics indicate that a comprehensive geriatric assessment, tailored interventions, and specific therapeutic algorithms among older adults are recommended to improve outcomes. Furthermore, this study provides valuable insights for clinical decision-making, guideline development, and resource allocation in critical care settings.
随着人口老龄化，对医疗保健资源的需求将不断增加，特别是在重症监护领域。因此，危重病老年人受到越来越多的关注，并进行了广泛的研究。然而，该领域的研究现状、动态模式和新兴主题几乎没有被综述过。本研究旨在使用文献计量学分析深入探讨老年重症监护领域（包括干预措施、结局和并发症）的现状和新兴趋势（发表量和研究主题）。我们从 Web of Science 核心数据库中检索了 2013 年至 2022 年间发表的关于老年重症监护的原始文章和综述。为了检查和展示研究趋势，我们使用了 VOSviewer 和 CiteSpace 软件进行分析和可视化。分析了国家和机构合作网络、共被引作者网络、共被引参考文献和关键词共现网络。总体而言，分析了 2013 年至 2022 年间发表的 6356 篇文章和综述，表明老年重症监护研究的出版物数量呈明显上升趋势。共有来自 131 个国家的 7989 个机构的 34654 名作者合作发表了 1715 种学术期刊上的 6356 篇老年重症监护相关论文。美国和中国是研究贡献最多的国家，而 Bertrand Guidet 是最具影响力的作者，发表的文章数量最多。文献的双图叠加显示，发表在分子/生物学/遗传学和健康/护理/医学期刊上的研究论文经常被医学/医学/临床期刊引用。新型冠状病毒病 2019 老年患者、谵妄和衰弱是新的趋势和研究热点。这是第一项针对老年重症监护的文献计量学研究。研究主题表明，建议对老年人进行全面的老年评估、有针对性的干预措施和特定的治疗算法，以改善结局。此外，本研究为重症监护环境中的临床决策制定、指南制定和资源分配提供了有价值的见解。
