RT Journal A1 Jelinek M T1 IS concentration on more intensive treatment for younger patients more rational and humane than ignorant? JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2009 FD August 10 VO 169 IS 15 SP 1442 OP 1442 DO 10.1001/archinternmed.2009.241 UL http://dx.doi.org/10.1001/archinternmed.2009.241 AB From a risk management perspective, a fatal error in a 50-year-old patient with ACS would result in a loss of 26 years of life expectancy. A similar fatal error in an 80-year-old patient would result in a loss of 7 years of life expectancy. This is a loss of life expectancy of 19 years more in the younger than in the older patient. If we considered the loss of quality-adjusted life years, the difference in quality-adjusted life expectancy would be even greater. Most practitioners have an intuitive feel that this sort of error is worse in a younger than in an older patient.