The status of intensive care medicine research and a future agenda for very old patients in the ICU.
Identifieur interne : 000171 ( Main/Exploration ); précédent : 000170; suivant : 000172The status of intensive care medicine research and a future agenda for very old patients in the ICU.
Auteurs : H. Flaatten [Norvège] ; D W De Lange [Pays-Bas] ; A. Artigas [Espagne] ; D. Bin [République populaire de Chine] ; R. Moreno [Portugal] ; S. Christensen [Danemark] ; G M Joynt [Australie] ; Sean M. Bagshaw [Canada] ; C L Sprung [Israël] ; D. Benoit [Belgique] ; M. Soares [Brésil] ; B. Guidet [France]Source :
- Intensive care medicine [ 1432-1238 ] ; 2017.
Abstract
The "very old intensive care patients" (abbreviated to VOPs; greater than 80 years old) are probably the fastest expanding subgroup of all intensive care unit (ICU) patients. Up until recently most ICU physicians have been reluctant to admit these VOPs. The general consensus was that there was little survival to gain and the incremental life expectancy of ICU admission was considered too small. Several publications have questioned this belief, but others have confirmed the poor long-term mortality rates in VOPs. More appropriate triage (resource limitation enforced decisions), admission decisions based on shared decision-making and improved prediction models are also needed for this particular patient group. Here, an expert panel proposes a research agenda for VOPs for the coming years.
DOI: 10.1007/s00134-017-4718-z
PubMed: 28238055
Affiliations:
- Australie, Belgique, Brésil, Canada, Danemark, Espagne, France, Israël, Norvège, Pays-Bas, Portugal, République populaire de Chine
- Utrecht (province), Île-de-France
- Paris, Utrecht
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 001134
- to stream PubMed, to step Curation: 001131
- to stream PubMed, to step Checkpoint: 001131
- to stream Ncbi, to step Merge: 004371
- to stream Ncbi, to step Curation: 004371
- to stream Ncbi, to step Checkpoint: 004371
- to stream Main, to step Merge: 000166
- to stream Main, to step Curation: 000171
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The status of intensive care medicine research and a future agenda for very old patients in the ICU.</title><author><name sortKey="Flaatten, H" sort="Flaatten, H" uniqKey="Flaatten H" first="H" last="Flaatten">H. Flaatten</name><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Medicine, ICU, Haukeland University Hospital, University of Bergen, Bergen, Norway. Hans.Flaatten@uib.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Clinical Medicine, ICU, Haukeland University Hospital, University of Bergen, Bergen</wicri:regionArea><wicri:noRegion>Bergen</wicri:noRegion></affiliation></author><author><name sortKey="De Lange, D W" sort="De Lange, D W" uniqKey="De Lange D" first="D W" last="De Lange">D W De Lange</name><affiliation wicri:level="3"><nlm:affiliation>Department of Intensive Care Medicine, University Medical Center, Utrecht, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Intensive Care Medicine, University Medical Center, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Artigas, A" sort="Artigas, A" uniqKey="Artigas A" first="A" last="Artigas">A. Artigas</name><affiliation wicri:level="1"><nlm:affiliation>Department of Intensive Care Medicine, CIBER Enfermedades Respiratorias, Corporacion Sanitaria Universitaria Parc Tauli, Autonomous University of Barcelona, Sabadell, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Intensive Care Medicine, CIBER Enfermedades Respiratorias, Corporacion Sanitaria Universitaria Parc Tauli, Autonomous University of Barcelona, Sabadell</wicri:regionArea><wicri:noRegion>Sabadell</wicri:noRegion></affiliation></author><author><name sortKey="Bin, D" sort="Bin, D" uniqKey="Bin D" first="D" last="Bin">D. Bin</name><affiliation wicri:level="1"><nlm:affiliation>Medical ICU, Peking Union Medical College Hospital, 1 Shuai Fu Yuan, Beijing, 100730, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Medical ICU, Peking Union Medical College Hospital, 1 Shuai Fu Yuan, Beijing, 100730</wicri:regionArea><wicri:noRegion>100730</wicri:noRegion></affiliation></author><author><name sortKey="Moreno, R" sort="Moreno, R" uniqKey="Moreno R" first="R" last="Moreno">R. Moreno</name><affiliation wicri:level="1"><nlm:affiliation>Unidade de Cuidados Intensivos Neurocríticos, Hospital de São José, Centro Hospitalar de Lisboa Central, Lisbon, Portugal.</nlm:affiliation><country xml:lang="fr">Portugal</country><wicri:regionArea>Unidade de Cuidados Intensivos Neurocríticos, Hospital de São José, Centro Hospitalar de Lisboa Central, Lisbon</wicri:regionArea><wicri:noRegion>Lisbon</wicri:noRegion></affiliation></author><author><name sortKey="Christensen, S" sort="Christensen, S" uniqKey="Christensen S" first="S" last="Christensen">S. Christensen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anaesthesia and Intensive Care Medicine, Aarhus University Hospital, Aarhus, Denmark.</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Anaesthesia and Intensive Care Medicine, Aarhus University Hospital, Aarhus</wicri:regionArea><wicri:noRegion>Aarhus</wicri:noRegion></affiliation></author><author><name sortKey="Joynt, G M" sort="Joynt, G M" uniqKey="Joynt G" first="G M" last="Joynt">G M Joynt</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong and School of Medicine, Royal Brisbane Clinical School, The University of Queensland, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong and School of Medicine, Royal Brisbane Clinical School, The University of Queensland, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Bagshaw, Sean M" sort="Bagshaw, Sean M" uniqKey="Bagshaw S" first="Sean M" last="Bagshaw">Sean M. Bagshaw</name><affiliation wicri:level="1"><nlm:affiliation>Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton</wicri:regionArea><wicri:noRegion>Edmonton</wicri:noRegion></affiliation></author><author><name sortKey="Sprung, C L" sort="Sprung, C L" uniqKey="Sprung C" first="C L" last="Sprung">C L Sprung</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel.</nlm:affiliation><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem</wicri:regionArea><wicri:noRegion>Jerusalem</wicri:noRegion></affiliation></author><author><name sortKey="Benoit, D" sort="Benoit, D" uniqKey="Benoit D" first="D" last="Benoit">D. Benoit</name><affiliation wicri:level="1"><nlm:affiliation>Department of Intensive Care, Ghent University Hospital, de pintelaan 185, 2K12IC, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Intensive Care, Ghent University Hospital, de pintelaan 185, 2K12IC, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Soares, M" sort="Soares, M" uniqKey="Soares M" first="M" last="Soares">M. Soares</name><affiliation wicri:level="1"><nlm:affiliation>Department of Critical Care, D'Or Institute for Research and Education, Rio De Janeiro, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Critical Care, D'Or Institute for Research and Education, Rio De Janeiro</wicri:regionArea><wicri:noRegion>Rio De Janeiro</wicri:noRegion></affiliation></author><author><name sortKey="Guidet, B" sort="Guidet, B" uniqKey="Guidet B" first="B" last="Guidet">B. Guidet</name><affiliation wicri:level="3"><nlm:affiliation>Assistance Publique, Hôpitaux de Paris, Hôpital Saint-Antoine, Service de Réanimation Médicale, 75012, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Assistance Publique, Hôpitaux de Paris, Hôpital Saint-Antoine, Service de Réanimation Médicale, 75012, Paris</wicri:regionArea><placeName><settlement type="city">Paris</settlement><region type="région" nuts="2">Île-de-France</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28238055</idno><idno type="pmid">28238055</idno><idno type="doi">10.1007/s00134-017-4718-z</idno><idno type="wicri:Area/PubMed/Corpus">001134</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001134</idno><idno type="wicri:Area/PubMed/Curation">001131</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001131</idno><idno type="wicri:Area/PubMed/Checkpoint">001131</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001131</idno><idno type="wicri:Area/Ncbi/Merge">004371</idno><idno type="wicri:Area/Ncbi/Curation">004371</idno><idno type="wicri:Area/Ncbi/Checkpoint">004371</idno><idno type="wicri:Area/Main/Merge">000166</idno><idno type="wicri:Area/Main/Curation">000171</idno><idno type="wicri:Area/Main/Exploration">000171</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The status of intensive care medicine research and a future agenda for very old patients in the ICU.</title><author><name sortKey="Flaatten, H" sort="Flaatten, H" uniqKey="Flaatten H" first="H" last="Flaatten">H. Flaatten</name><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Medicine, ICU, Haukeland University Hospital, University of Bergen, Bergen, Norway. Hans.Flaatten@uib.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Clinical Medicine, ICU, Haukeland University Hospital, University of Bergen, Bergen</wicri:regionArea><wicri:noRegion>Bergen</wicri:noRegion></affiliation></author><author><name sortKey="De Lange, D W" sort="De Lange, D W" uniqKey="De Lange D" first="D W" last="De Lange">D W De Lange</name><affiliation wicri:level="3"><nlm:affiliation>Department of Intensive Care Medicine, University Medical Center, Utrecht, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Intensive Care Medicine, University Medical Center, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Artigas, A" sort="Artigas, A" uniqKey="Artigas A" first="A" last="Artigas">A. Artigas</name><affiliation wicri:level="1"><nlm:affiliation>Department of Intensive Care Medicine, CIBER Enfermedades Respiratorias, Corporacion Sanitaria Universitaria Parc Tauli, Autonomous University of Barcelona, Sabadell, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Intensive Care Medicine, CIBER Enfermedades Respiratorias, Corporacion Sanitaria Universitaria Parc Tauli, Autonomous University of Barcelona, Sabadell</wicri:regionArea><wicri:noRegion>Sabadell</wicri:noRegion></affiliation></author><author><name sortKey="Bin, D" sort="Bin, D" uniqKey="Bin D" first="D" last="Bin">D. Bin</name><affiliation wicri:level="1"><nlm:affiliation>Medical ICU, Peking Union Medical College Hospital, 1 Shuai Fu Yuan, Beijing, 100730, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Medical ICU, Peking Union Medical College Hospital, 1 Shuai Fu Yuan, Beijing, 100730</wicri:regionArea><wicri:noRegion>100730</wicri:noRegion></affiliation></author><author><name sortKey="Moreno, R" sort="Moreno, R" uniqKey="Moreno R" first="R" last="Moreno">R. Moreno</name><affiliation wicri:level="1"><nlm:affiliation>Unidade de Cuidados Intensivos Neurocríticos, Hospital de São José, Centro Hospitalar de Lisboa Central, Lisbon, Portugal.</nlm:affiliation><country xml:lang="fr">Portugal</country><wicri:regionArea>Unidade de Cuidados Intensivos Neurocríticos, Hospital de São José, Centro Hospitalar de Lisboa Central, Lisbon</wicri:regionArea><wicri:noRegion>Lisbon</wicri:noRegion></affiliation></author><author><name sortKey="Christensen, S" sort="Christensen, S" uniqKey="Christensen S" first="S" last="Christensen">S. Christensen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anaesthesia and Intensive Care Medicine, Aarhus University Hospital, Aarhus, Denmark.</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Anaesthesia and Intensive Care Medicine, Aarhus University Hospital, Aarhus</wicri:regionArea><wicri:noRegion>Aarhus</wicri:noRegion></affiliation></author><author><name sortKey="Joynt, G M" sort="Joynt, G M" uniqKey="Joynt G" first="G M" last="Joynt">G M Joynt</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong and School of Medicine, Royal Brisbane Clinical School, The University of Queensland, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong and School of Medicine, Royal Brisbane Clinical School, The University of Queensland, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Bagshaw, Sean M" sort="Bagshaw, Sean M" uniqKey="Bagshaw S" first="Sean M" last="Bagshaw">Sean M. Bagshaw</name><affiliation wicri:level="1"><nlm:affiliation>Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton</wicri:regionArea><wicri:noRegion>Edmonton</wicri:noRegion></affiliation></author><author><name sortKey="Sprung, C L" sort="Sprung, C L" uniqKey="Sprung C" first="C L" last="Sprung">C L Sprung</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel.</nlm:affiliation><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem</wicri:regionArea><wicri:noRegion>Jerusalem</wicri:noRegion></affiliation></author><author><name sortKey="Benoit, D" sort="Benoit, D" uniqKey="Benoit D" first="D" last="Benoit">D. Benoit</name><affiliation wicri:level="1"><nlm:affiliation>Department of Intensive Care, Ghent University Hospital, de pintelaan 185, 2K12IC, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Intensive Care, Ghent University Hospital, de pintelaan 185, 2K12IC, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Soares, M" sort="Soares, M" uniqKey="Soares M" first="M" last="Soares">M. Soares</name><affiliation wicri:level="1"><nlm:affiliation>Department of Critical Care, D'Or Institute for Research and Education, Rio De Janeiro, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Critical Care, D'Or Institute for Research and Education, Rio De Janeiro</wicri:regionArea><wicri:noRegion>Rio De Janeiro</wicri:noRegion></affiliation></author><author><name sortKey="Guidet, B" sort="Guidet, B" uniqKey="Guidet B" first="B" last="Guidet">B. Guidet</name><affiliation wicri:level="3"><nlm:affiliation>Assistance Publique, Hôpitaux de Paris, Hôpital Saint-Antoine, Service de Réanimation Médicale, 75012, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Assistance Publique, Hôpitaux de Paris, Hôpital Saint-Antoine, Service de Réanimation Médicale, 75012, Paris</wicri:regionArea><placeName><settlement type="city">Paris</settlement><region type="région" nuts="2">Île-de-France</region></placeName></affiliation></author></analytic><series><title level="j">Intensive care medicine</title><idno type="eISSN">1432-1238</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The "very old intensive care patients" (abbreviated to VOPs; greater than 80 years old) are probably the fastest expanding subgroup of all intensive care unit (ICU) patients. Up until recently most ICU physicians have been reluctant to admit these VOPs. The general consensus was that there was little survival to gain and the incremental life expectancy of ICU admission was considered too small. Several publications have questioned this belief, but others have confirmed the poor long-term mortality rates in VOPs. More appropriate triage (resource limitation enforced decisions), admission decisions based on shared decision-making and improved prediction models are also needed for this particular patient group. Here, an expert panel proposes a research agenda for VOPs for the coming years.</div></front></TEI><affiliations><list><country><li>Australie</li><li>Belgique</li><li>Brésil</li><li>Canada</li><li>Danemark</li><li>Espagne</li><li>France</li><li>Israël</li><li>Norvège</li><li>Pays-Bas</li><li>Portugal</li><li>République populaire de Chine</li></country><region><li>Utrecht (province)</li><li>Île-de-France</li></region><settlement><li>Paris</li><li>Utrecht</li></settlement></list><tree><country name="Norvège"><noRegion><name sortKey="Flaatten, H" sort="Flaatten, H" uniqKey="Flaatten H" first="H" last="Flaatten">H. Flaatten</name></noRegion></country><country name="Pays-Bas"><region name="Utrecht (province)"><name sortKey="De Lange, D W" sort="De Lange, D W" uniqKey="De Lange D" first="D W" last="De Lange">D W De Lange</name></region></country><country name="Espagne"><noRegion><name sortKey="Artigas, A" sort="Artigas, A" uniqKey="Artigas A" first="A" last="Artigas">A. Artigas</name></noRegion></country><country name="République populaire de Chine"><noRegion><name sortKey="Bin, D" sort="Bin, D" uniqKey="Bin D" first="D" last="Bin">D. Bin</name></noRegion></country><country name="Portugal"><noRegion><name sortKey="Moreno, R" sort="Moreno, R" uniqKey="Moreno R" first="R" last="Moreno">R. Moreno</name></noRegion></country><country name="Danemark"><noRegion><name sortKey="Christensen, S" sort="Christensen, S" uniqKey="Christensen S" first="S" last="Christensen">S. Christensen</name></noRegion></country><country name="Australie"><noRegion><name sortKey="Joynt, G M" sort="Joynt, G M" uniqKey="Joynt G" first="G M" last="Joynt">G M Joynt</name></noRegion></country><country name="Canada"><noRegion><name sortKey="Bagshaw, Sean M" sort="Bagshaw, Sean M" uniqKey="Bagshaw S" first="Sean M" last="Bagshaw">Sean M. Bagshaw</name></noRegion></country><country name="Israël"><noRegion><name sortKey="Sprung, C L" sort="Sprung, C L" uniqKey="Sprung C" first="C L" last="Sprung">C L Sprung</name></noRegion></country><country name="Belgique"><noRegion><name sortKey="Benoit, D" sort="Benoit, D" uniqKey="Benoit D" first="D" last="Benoit">D. Benoit</name></noRegion></country><country name="Brésil"><noRegion><name sortKey="Soares, M" sort="Soares, M" uniqKey="Soares M" first="M" last="Soares">M. Soares</name></noRegion></country><country name="France"><region name="Île-de-France"><name sortKey="Guidet, B" sort="Guidet, B" uniqKey="Guidet B" first="B" last="Guidet">B. Guidet</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Asie/explor/AustralieFrV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000171 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000171 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Asie
|area= AustralieFrV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:28238055
|texte= The status of intensive care medicine research and a future agenda for very old patients in the ICU.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:28238055" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a AustralieFrV1
| This area was generated with Dilib version V0.6.33. |  |