Finding
In addition, there are multimorbidity scores other than the CCI that might be better at predicting outcomes in individuals with ICH.
Paper
Body of Water Involved in Older Adult Drowning Deaths in the United States
Observational Study
Rigorous Journal
Citations: 2
Full textAbstract
plasticity from hypoactive astrocytes. It is unlikely that the results of the current study reflect less-aggressive medical care in older adults. The occurrence of an age-related bias for withdrawal of invasive life support could not be verified, because Italian laws do now allow use of formal do-not-resuscitate orders, but had this bias been relevant in this cohort, participants aged 80 and older would have been expected to have higher mortality than younger participants already during the first week, because withdrawal of invasive life support has a strong effect on mortality during the early phase of ICH. Moreover, because of the legal uncertainties surrounding end-of-life decisions in Italy, withdrawal of noninvasive life support (hydration and nutrition) is not performed at the Maggiore SU. Finally, because the Maggiore SU team includes geriatricians, it is unlikely that participants aged 80 and older were denied treatment for medical complications solely because of their age. The main limitation of this study is the lack of data for ICH volume, cause of death, and postdischarge mortality. In addition, there are multimorbidity scores other than the CCI that might be better at predicting outcomes in individuals with ICH. Finally, these findings may not be generalizable to SUs whose teams do not include geriatricians.
Authors
Wen-Shiann Wu, T. Cheng, T. Lu
Journal
Journal of the American Geriatrics Society