Acute respiratory failure in the elderly: diagnosis and prognosis

被引：52

作者：

Delerme, Samuel ^{[1
]}

Ray, Patrick ^{[1
]}

机构：

[1] Univ Paris 06, CHU Pitie Salpetriere, Emergency Dept, F-75013 Paris, France

来源：

AGE AND AGEING | 2008年 / 37卷 / 03期

关键词：

acute respiratory failure; elderly; pulmonary embolism; BNP; congestive heart failure;

D O I：

10.1093/ageing/afn060

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Acute respiratory failure (ARF) in patients over 65 years is common in emergency departments (EDs) and is one of the key symptoms of congestive heart failure (CHF) and respiratory disorders. Searches were conducted in MEDLINE for published studies in the English language between January 1980 and August 2007, using acute dyspnea, acute respiratory failure (ARF), heart failure, pneumonia, pulmonary embolism (PE) keywords and selecting articles concerning patients aged 65 or over. The age-related structural changes of the respiratory system, their consequences in clinical assessment and the pathophysiology of ARF are reviewed. CHF is the most common cause of ARF in the elderly. Inappropriate diagnosis that is frequent and inappropriate treatments in ED are associated with adverse outcomes. B-type natriuretic peptides (BNPs) help to determine an accurate diagnosis of CHF. We should consider non-invasive ventilation (NIV) in elderly patients hospitalised with CHF or acidotic chronic obstructive pulmonary disease (COPD) who do not improve with medical treatment. Further studies on ARF in elderly patients are warranted.

引用

页码：251 / 257

页数：7

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