ICU sedation, delirium & recovery
Outcomes in Patients Perceived as Receiving Excessive Care by ICU Physicians and Nurses: Differences Between Patients < 75 and ≥ 75 Years of Age?
Authors' conclusion
Although the incidence of perceptions of excessive care is slightly higher in older patients, there is no difference in treatment limitation decisions and 1-year outcomes between older and younger patients once patients are identified by concordant perceptions of excessive care.
Study context
- Population
- ICU patients in 56 ICUs, with daily nurse and physician questionnaires on appropriateness of care over 28 days in 2014
- Participants
- 1,641 patients
- Comparison
- ≥ 75 years vs < 75 years
- ≥ 75 yearsn = 405
- Primary endpoint
- Treatment limitation decisions and combined end point (death, poor quality of life, or not being at home), by age group and concordant perceptions of excessive care
- Follow-up
- 1 year
Methodological detailspropensity score weighting, multicentre
- Propensity score weighting
- Multicentre
Primary result
As reported in the abstract
Cumulative incidence of concordant perceptions of excessive care
- ≥ 75 years vs < 75 years: P < 0.001
Further findings
| Outcome | ≥ 75 years | < 75 years | HR (95% CI) | P value | |
|---|---|---|---|---|---|
| 1-year mortality, patients with concordant perceptions of excessive care (subgroup)HR after weighting · propensity score weighting | 83% | 83% | 1.11 (0.74–1.65) | P > 0.99 | |
| Treatment limitation decisions, patients with concordant perceptions of excessive care (subgroup)HR after weighting | 33% | 31% | 1.11 (0.69–2.17) | ||
| 0.512Hazard ratio (log scale) |
Combined end point (death, poor QoL or not at home), patients with concordant perceptions of excessive care (subgroup) · 1 year
P = 0.546
| Outcome | P value |
|---|---|
| Combined end point, patients without concordant perceptions of excessive care (subgroup) · 1 year | P < 0.001 |
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Outcomes in Patients Perceived as Receiving Excessive Care by ICU Physicians and Nurses: Differences Between Patients < 75 and ≥ 75 Years of Age? Chest. Published 14 April 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →