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Pronostic à distance des personnes âgées admises en réanimation

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Personnes âgées et réanimation

Part of the book series: Références en réanimation. Collection de la SRLF ((SRLF))

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Résumé

Alors qu’il est établi que la santé de personnes âgées doit être évaluée selon plusieurs dimensions et que l’état de santé après 75 ans - même s’il est hétérogène - s’améliore depuis quelques décennies, il semble que des disparités existent dans l’admission des personnes âgées en réanimation. Ainsi, en Île-de-France, les taux de personnes âgées hospitalisées en réanimation varient-ils du simple au triple selon les hôpitaux (données de la base CUB-Réa regroupant 35 services de réanimation d’Île-de-France), ce qui ne peut refléter uniquement la disparité des bassins de recrutement des hôpitaux. De récents travaux montrent également qu’en France toujours, la probabilité d’admission en réanimation d’un patient de plus de 80 ans présentant une indication d’admission peut varier du simple au double selon le service d’accueil des urgences où il se présente (données de l’étude ICE-CUB1, article soumis).

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Références

  1. Bagshaw SM, Webb SA, Delaney A, et al. (2009) Very old patients admitted to intensive care in Australia and New Zealand: a multi-centre cohort analysis. Crit Care 13(2): R45–R45

    Article  PubMed  Google Scholar 

  2. Anon (1946) Constitution de l’organisation mondiale de la santé. Available at: http://apps.who.int/gb/bd/PDF/bd47/FR/constitution-fr.pdf. Consulté septembre 12, 2011

    Google Scholar 

  3. Dragsted L, Qvist J (1992) Epidemiology of intensive care. Int J Technol Assess Health Care 8(3): 395–407

    Article  PubMed  CAS  Google Scholar 

  4. Lemeshow S, Teres D, Klar J, et al. (1993) Mortality Probability Models (MPM II) based on an international cohort of intensive care unit patients. JAMA 270(20): 2478–86

    Article  PubMed  CAS  Google Scholar 

  5. Boumendil A, Somme D, Garrouste-Orgeas M, Guidet B (2007) Should elderly patients be admitted to the intensive care unit? Intensive Care Med 33(7): 1252–62

    Article  PubMed  Google Scholar 

  6. Kass JE, Castriotta RJ, Malakoff F (1992) Intensive care unit outcome in the very elderly. Crit Care Med 20(12): 1666–71

    Article  PubMed  CAS  Google Scholar 

  7. Somme D, Maillet J-M, Gisselbrecht M, et al. (2003) Critically ill old and the oldest-old patients in intensive care: short-and long-term outcomes. Intensive Care Med 29(12): 2137–43

    Article  PubMed  Google Scholar 

  8. Kleinpell RM, Ferrans CE (1998) Factors influencing intensive care unit survival for critically ill elderly patients. Heart Lung 27(5): 337–43

    Article  PubMed  CAS  Google Scholar 

  9. Bo M, Massaia M, Raspo S, et al. (2003) Predictive factors of in-hospital mortality in older patients admitted to a medical intensive care unit. J Am Geriatr Soc 51(4): 529–33

    Article  PubMed  Google Scholar 

  10. Aegerter P, Boumendil A, Retbi A, et al. (2005) SAPS II revisited. Intensive Care Med 31(3): 416–23

    Article  PubMed  Google Scholar 

  11. Ip SP, Leung YF, Ip CY, Mak WP (1999) Outcomes of critically ill elderly patients: is high-dependency care for geriatric patients worthwhile? Crit Care Med 27(11): 2351–7

    Article  PubMed  CAS  Google Scholar 

  12. Nguyen Y-L, Angus DC, Boumendil A, Guidet B (2011) The challenge of admitting the very elderly to intensive care. Ann Intensive Care 1(1): 29

    Article  PubMed  Google Scholar 

  13. de Rooij SEJA, Govers AC, Korevaar JC, et al. (2008) Cognitive, functional, and quality-of-life outcomes of patients aged 80 and older who survived at least 1 year after planned or unplanned surgery or medical intensive care treatment. J Am Geriatr Soc 56(5): 816–22

    Article  PubMed  Google Scholar 

  14. Roch A, Wiramus S, Pauly V, et al. (2011) Long-term outcome in medical patients aged 80 or over following admission to an intensive care unit. Crit Care 15(1): R36

    Article  PubMed  Google Scholar 

  15. Tabah A, Philippart F, Timsit JF, et al. (2010) Quality of life in patients aged 80 or over after ICU discharge. Crit Care 14(1): R2

    Article  PubMed  Google Scholar 

  16. Wunsch H, Guerra C, Barnato AE, et al. (2010) Three-year outcomes for Medicare beneficiaries who survive intensive care. JAMA 303(9): 849–56

    Article  PubMed  CAS  Google Scholar 

  17. Boumendil A, Latouche A, Guidet B (2011) On the benefit of intensive care for very old patients. Arch Intern Med 171(12): 1116–7

    Article  PubMed  Google Scholar 

  18. Keenan SP, Dodek P, Chan K, et al. (2002) Intensive care unit admission has minimal impact on long-term mortality. Crit Care Med 30(3): 501–7

    Article  PubMed  Google Scholar 

  19. Williams TA, Dobb GJ, Finn JC, et al. (2008) Determinants of long-term survival after intensive care. Crit Care Med 36(5): 1523–30

    Article  PubMed  Google Scholar 

  20. Barnato AE, Albert SM, Angus DC, et al. (2011) Disability among elderly survivors of mechanical ventilation. Am J Respir Crit Care Med 183(8): 1037–42

    Article  PubMed  Google Scholar 

  21. Cuthbertson BH, Roughton S, Jenkinson D, et al. (2010) Quality of life in the five years after intensive care: a cohort study. Crit Care 14(1): R6

    Article  PubMed  Google Scholar 

  22. Desai SV, Law TJ, Needham DM (2011) Long-term complications of critical care. Crit Care Med 39(2): 371–9

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. INSERM, U707, 75012, Paris, France

    A. Boumendil

  2. Université Pierre et Marie Curie-Paris 6, UMR-S707, 75012, Paris, France

    A. Boumendil

  3. Réanimation médicale, Hôpital Saint-Antoine, 184, rue du Faubourg-Saint-Antoine, 75012, Paris, France

    B. Guidet

Authors
  1. A. Boumendil
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  2. B. Guidet
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© 2012 Springer-Verlag France, Paris

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Boumendil, A., Guidet, B. (2012). Pronostic à distance des personnes âgées admises en réanimation. In: Personnes âgées et réanimation. Références en réanimation. Collection de la SRLF. Springer, Paris. https://doi.org/10.1007/978-2-8178-0287-9_10

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  • DOI: https://doi.org/10.1007/978-2-8178-0287-9_10

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0286-2

  • Online ISBN: 978-2-8178-0287-9

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