#LIVES2018 *AND* #ICSSOA2018 – collated moments

IMG_8479
I had a great time at both ESICM’s #LIVES2018 in Paris and of course the ever growing, ever more exciting ICS conference #ICSSOA2018 which just wrapped up in Westminster, London last last week ….

I have put all the scribbles from both conferences together into moments and linked them each here (One moment for all my #ICSSOA2018 stuff, and then separate links for each day from #LIVES2018)

As ever, thank you so much to everyone from the SoMe teams at both conferences for such a great time!

 

VIPs: Clinical frailty, survival and the ‘very elderly’ ICU patient

This study by Flaatten et al., looked at thirty day survival for very elderly patients admitted it ICU and was published in ICM just before Christmas.  Survival to 30 days decreased for all groups down the scale form not frail to vulnerable, to frail. Furthermore the impact of CFS on outcome was more than that of either age or SOFA score.

It is worth remembering that this study only  collected data on those admitted (not those who remained on the ward) and interestingly some 23% of patients didn’t receive any ITU specific treatment.

Do you routinely use a frailty scale as part of your assessment of ICU candidates for admission? This study would suggest CFS  could reliably predict a subgroup modem likely to die in 30 days.

img_0674.png