ICU sedation, delirium & recovery

Characteristics, outcomes, and complications among nonagenarian and centenarian patients admitted to the intensive care unit: a scoping review

Crit CarePublished Scoping review

An erratum to this article was published (Crit Care, 20 Aug 2025 ↗)

Authors' conclusion

Nonagenarians and centenarians admitted to ICU are a highly comorbid and vulnerable population who experience prolonged hospital stays and complications. However four out of five survive to hospital discharge and half are alive at one year after admission.

Study context

Population
Nonagenarians and centenarians admitted to ICU
Participants
16,859 participants · 36 studies
Outcome
Hospital mortality
Methodological detailsmostly retrospective studies
  • Mostly retrospective studies

Main finding

As reported in the abstract

Median hospital mortality (range 0%-62.5%; IQR 15%-35.5%)

25.55%

Observational data: associations, not effects.

Further findings

Patient characteristics

Mean age (years)
92.4
Male prevalence
39.3%
Multiple comorbidities present in the majority of patients

Mechanical ventilation

Overall received mechanical ventilation
40.7%
Median across studies (range 0%-100%; IQR 23.8%-50%)
36%
Mean duration (h)
90.4
Median duration, h (range 10-221 h; IQR 12.25-146.5 h)
84

ICU LOS

Mean ICU stay (days)
5.4
Median ICU stay, days (range 0.9-13 days; IQR 2.55-7.03 days)
5

Hospital LOS

Median hospital stay, days (range 5.7-31 days; IQR 11-17.6 days)
12.4

Long-term mortality

Mean 6-month mortality
38.6%
Mean 1-year mortality
45.6%

Safety

Cardiovascular and renal complications were common

Original publication

Characteristics, outcomes, and complications among nonagenarian and centenarian patients admitted to the intensive care unit: a scoping review. Crit Care. Published 13 March 2025. doi:10.1186/s13054-025-05349-z

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