TY  - JOUR
T1  - ON the benefit of intensive care for very old patients
AU  - Boumendil A, Latouche A, Guidet B, et al
Y1  - 2011/06/27
N1  - 10.1001/archinternmed.2011.102
JO  - Archives of Internal Medicine
SP  - 1116
EP  - 1117
VL  - 171
IS  - 12
N2  - 
Observational studies generally report lower crude mortality rates for patients admitted to an ICU than in those refused,2 yet studies of very old patients find similar crude mortality rates.3 A few studies have reported adjusted results using binary outcome models, but they did not focus on elderly patients and had contradictory conclusions.1,4 Comparisons of survival in admitted and nonadmitted patients is seldom published. Wunsh et al5 showed that elderly ICU survivors had a lower long-term survival than hospital discharge survivors who did not receive ICU care, matched on age, sex, race, and whether they had surgery. Survival curve comparisons require adjustment on more confounding factors such as comorbidities and initial severity.

SN  - 0003-9926
M3  - doi: 10.1001/archinternmed.2011.102
UR  - http://dx.doi.org/10.1001/archinternmed.2011.102
ER  -