Windolf J, Hanisch E, Eisele U, Inglis R
Klinikum der Johann-Wolfgang-Goethe-Universität Frankfurt.
Unfallchirurgie. 1993 Oct;19(5):284-8. doi: 10.1007/BF02588123.
Intensive care treatment of elderly patients is discussed controversially. Especially the success of maximal therapeutic efforts is questioned in this group. Therefore, this paper analyses prospective data of 1572 patients of a surgical intensive care unit with respect to age-related outcome. Besides the anticipated high proportion of concomitant diseases and an associated increased mortality of aged patients, there are no specific age-dependent differences. Old patients benefit from maximal therapeutic efforts to the same extent like younger patients. The authors conclude from the data that the patient's age per se should not influence the indication for intensive therapeutic interventions.
老年患者的重症监护治疗存在争议。特别是在这一群体中,最大治疗力度的成功率受到质疑。因此,本文分析了一家外科重症监护病房1572例患者的前瞻性数据,以研究与年龄相关的预后情况。除了预期老年患者合并症比例高以及相关死亡率增加外,没有特定的年龄依赖性差异。老年患者与年轻患者一样,能从最大治疗力度中获益。作者从这些数据中得出结论,患者的年龄本身不应影响重症治疗干预的指征。