Decreasing admissions in older and increasing mortality in younger patients: a nationwide observational study of all German ICU cases 2011-2022 - PubMed
4 days ago
- #ICU admissions
- #mortality trends
- #organ replacement therapy
- Study analyzed 8.4 million ICU admissions in Germany from 2011-2022.
- ICU admissions declined by 12.6%, with significant reductions in patients aged 65-79 (-18.1%) and ≥80 (-24%).
- ICU-related mortality increased from 14.4% to 18.9%, mainly in patients under 80 years.
- In-hospital deaths declined overall, but ICU-related deaths rose among patients under 80.
- Use of organ replacement therapies (ORT) increased across all age groups, with high mortality rates, especially with combined ORTs (up to 79%).
- Patients aged 65-79 received combined ORTs most frequently, while those ≥80 had the highest mortality.
- Findings highlight age-specific differences in ICU care, impacting admission practices, treatment decisions, and resource planning.