Publications by authors named "Mourman V"
Article Synopsis
- ICU admission decisions for elderly COVID-19 patients are complex, influenced by potential patient-centered benefits and often involve discussions about limiting therapeutic efforts (LTE), which have been understudied.
- A study was conducted with 82 patients aged 70 and above, highlighting that 27% had early LTE discussions, which were more common in older and frailer patients; however, this did not correlate with higher in-hospital mortality rates.
- Early LTE discussions led to significantly reduced use of invasive procedures and shorter ICU stays, suggesting that such discussions may optimize care for elderly patients without increasing mortality risks, but further research is necessary to confirm these findings.
Understood as a disruption of the conditions of care practice according to established protocols or procedures, crisis situations in radiation oncology departments can have multiple causes. Their seriousness can sometimes impose changes in the decision-making, organizational or technical paradigms. A possible consequence may be the need to make prioritization decisions in access to care, when there is a mismatch between the care needs of a population and the available health resources (whether technical or human).
View Article and Find Full Text PDFBackground: Clinical presentation and risk factors of death in COVID-19 in oldest adults have not been well characterized.
Objectives: To describe clinical features and outcome of COVID-19 in patients older than 85 years and study risk factors for mortality.
Design: Prospective cohort.