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(Chest. 2005;127:1764-1774.)
© 2005 American College of Chest Physicians

Outcomes of Elderly Survivors of Intensive Care*

A Review of the Literature

Deirdre Hennessy, MSc; Kelsey Juzwishin, MSc; Dean Yergens, BSc; Thomas Noseworthy, MD, MPH and Christopher Doig, MD, MSc

* From the Departments of Critical Care Medicine (Ms. Hennessy and Dr. Doig) and Community Health Sciences (Ms. Juzwishin and Dr. Noseworthy), and the Centre for Health and Policy Studies (Mr. Yergens), Faculty of Medicine, University of Calgary, Calgary, AB, Canada.

Correspondence to: Christopher Doig, MD, MSc, Department of Critical Care Medicine, Faculty of Medicine, University of Calgary, Room EG23G, Foothills Medical Centre, 1403 Twenty-Ninth St NW, Calgary, AB, Canada T2N 2T9; e-mail: cdoig{at}ucalgary.ca

An increasing proportion of critically ill patients are elderly (ie, ≥ 65 years of age). This poses complex challenges and choices for the management of elderly patients. Outcome following admission to the ICU has been traditionally concerned with mortality. Beyond mortality, outcomes such as functional status and health-related quality of life (HRQOL) have assumed greater importance. This article reviews the literature, published in English from 1990 to December 2003, pertaining to HRQOL and functional status outcomes of elderly patients. Functional status and HRQOL of elderly survivors of ICUs has been underinvestigated. There is no agreement as to the optimal instrument choice, and differences between studies preclude meaningful comparison or pooling of results.

Key Words: aged • critical care • health status • quality of life • review




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