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This research examines how age influences ICU admission decisions for older adults, questioning the reliance on functional assessments.

April 16, 2026European Geriatric Medicine0 citationsOpen Access

Intensive care admissions in older adults: are we moving from ageism to ableism?

LMLaura Moïsi BLBénédicte Lombart VBValérie Bellamy

Key Points

This research examines how age influences ICU admission decisions for older adults, questioning the reliance on functional assessments.
Analyzed current ICU admission practices for older adults
Evaluated the impact of frailty scales and functional independence metrics
Explored normative assumptions in decision-making processes
Age continues to influence ICU admission despite use of frailty and independence measures
Normative assumptions about aging may persist within assessment tools
There's a need for more patient-centered decision-making frameworks

Abstract

Chronological age continues to shape ICU admission decisions for older adults despite increasing reliance on functional independence and frailty scales. Though these provide structured decision-making support, their use may inadvertently embed normative assumptions about aging and functional independence. Greater reflexivity is needed to ensure patient-centered robust decision-making for older adults in critical care.

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