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Michael S. Weinstein, MD, FACS, FCCM, speaks with Daren K. Heyland, MD, FRCPC, about the article, “The Very Elderly Admitted to ICU: A Quality Finish?*” published in Critical Care Medicine. Dr. Heyland works as a Professor of Medicine and Epidemiology at Queen’s University. Additionally, he serves as a Critical Care Physician and Director of the Clinical Evaluation Research Unit at Kingston General Hospital in Kingston, Ontario, Canada. In this article, Dr. Heyland and coauthors found that one third of very elderly ICU patients died in hospital, many after a prolonged ICU stay while continuing to receive aggressive life-sustaining interventions. These findings raise questions about the use of critical care at the end of life for the very elderly.
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