Care is often limited by patient age due to societal forces concerning expense and successful outcome. A mother's critical illness yields insights into care that worked despite advanced age. The five subsequent insights are viewed against data from randomized clinical trials illustrating how we know what we think we know. From this a healthcare model is proposed that insures a healthier elderly population.
HackeW., KasteM., BluhmE., BrozmanM., DávalosA., GuidettiD., LarrueV., LeesK.R., MedeghriZ., MachnigT., SchneiderD., von KummerR., WahlgrenN., ToniD.2008. Thrombolysis with alteplase 3 to 4.5 hours after ischemic stroke. New England Journal of Medicine359: 1317–29.
2.
LevinskyN.1993. The organization of medical care. New England Journal of Medicine329(9): 1395–9.
3.
LubitzJ., BeebeJ., BakerC.1995. Longevity and medicare expenditures. New England Journal of Medicine332: 999–1003.
4.
NguyenY.-L., AngusD.C., BoumendilA., GuidetB.2011. The challenge of admitting the very elderly to intensive care. Annals of Intensive Care1: 29.
5.
NINDS Study Group. 1995. Tissue plasminogen activator for acute ischemic stroke. New England Journal of Medicine333: 1581–7.
6.
SpillmanB., LubitzJ.2000. The effect of longevity on spending for acute and longer-term care. New England Journal of Medicine342: 1409–15.