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Attitudes of Physicians Towards the Care of Critically Ill Elderly Patients - a European Survey

2018-02Journal article Open access
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dc.contributor.authorGuidet, B
dc.contributor.authorDe Lange, DW
dc.contributor.authorChristensen, S
dc.contributor.authorMoreno, R
dc.contributor.authorFjølner, J
dc.contributor.authorDumas, G
dc.contributor.authorFlaatten, H
dc.date.accessioned2020-08-13T15:53:23Z
dc.date.available2020-08-13T15:53:23Z
dc.date.issued2018-02
dc.description.abstractBackground: Very elderly patients are one of the fastest growing population in ICUs worldwide. There are lots of controversies regarding admission, discharge of critically ill elderly patients, and also on treatment intensity during the ICU stay. As a consequence, practices vary considerably from one ICU to another. In that perspective, we collected opinions of experienced ICU physicians across Europe on statements focusing on patients older than 80. Methods: We sent an online questionnaire to the coordinator ICU physician of all participating ICUs of an recent European, observational study of Very old critically Ill Patients (VIP1 study). This questionnaire contained 12 statements about admission, triage, treatment and discharge of patients older than 80. Results: We received answers from 162 ICUs (52% of VIP1-study) spanning 20 different European countries. There were major disagreements between ICUs. Responders disagree that: there is clear evidence that ICU admission is beneficial (37%); seeking relatives' opinion is mandatory (17%); written triage guidelines must be available either at the hospital or ICU level (20%); level of care should be reduced (25%); a consultation of a geriatrician should be sought (34%) and a geriatrician should be part of the post-ICU trail (11%). The percentage of disagreement varies between statements and European regions. Conclusion: There are major differences in the attitude of European ICU physicians on the admission, triage and treatment policies of patients older than 80 emphasizing the lack of consensus and poor level of evidence for most of the statements and outlining the need for future interventional studies.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Anaesthesiol Scand. 2018 Feb;62(2):207-219.pt_PT
dc.identifier.doi10.1111/aas.13021pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3498
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherJohn Wiley and Sonspt_PT
dc.subjectAgedpt_PT
dc.subjectCritical Carept_PT
dc.subjectEuropept_PT
dc.subjectFemalept_PT
dc.subjectGeriatricspt_PT
dc.subjectGuidelines as Topicpt_PT
dc.subjectHumanspt_PT
dc.subjectMalept_PT
dc.subjectSurveys and Questionnairespt_PT
dc.subjectTriagept_PT
dc.subjectAttitude of Health Personnelpt_PT
dc.subjectCritical Illnesspt_PT
dc.subjectPhysicianspt_PT
dc.subjectHSJ UCIpt_PT
dc.titleAttitudes of Physicians Towards the Care of Critically Ill Elderly Patients - a European Surveypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage219pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage207pt_PT
oaire.citation.titleActa Anaesthesiologica Scandinavicapt_PT
oaire.citation.volume62pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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