Community-acquired pneumonia in critically ill very old patients: A growing problem

Catia Cillóniz, Cristina Dominedò, Juan M. Pericàs, Diana Rodriguez-Hurtado, Antoni Torres

Producción científica: Artículo CientíficoArtículo de revisiónrevisión exhaustiva

43 Citas (Scopus)

Resumen

Very old (aged ≥80 years) adults constitute an increasing proportion of the global population. Currently, this subgroup of patients represents an important percentage of patients admitted to the intensive care unit. Community-acquired pneumonia (CAP) frequently affects very old adults. However, there are no specific recommendations for the management of critically ill very old CAP patients. Multiple morbidities, polypharmacy, immunosenescence and frailty contribute to an increased risk of pneumonia in this population. CAP in critically ill very old patients is associated with higher short-and long-term mortality; however, because of its uncommon presentation, diagnosis can be very difficult. Management of critically ill very old CAP patients should be guided by their baseline characteristics, clinical presentation and risk factors for multidrug-resistant pathogens. Hospitalisation in intermediate care may be a good option for critical ill very old CAP patients who do not require invasive procedures and for whom intensive care is questionable in terms of benefit.

Idioma originalInglés estadounidense
-190126
PublicaciónEuropean Respiratory Review
Volumen29
N.º155
DOI
EstadoIndizado - mar. 2020
Publicado de forma externa

Nota bibliográfica

Publisher Copyright:
© ERS 2020.

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