Limitations

Chelluri et al suggest that a patient’s likely survival following ICU admission is not determined primarily by age, but rather by the degree to which the patient suffers from acute physiologic abnormality. Taken together, these data suggest that the issue of patient selection for ICU admission based on age should be scrutinized, as both health systems contemplate ways to limit spending and that objective predictions of likely outcomes be a part of the triage process. canadian neighborhood pharmacy 
This study has several limitations. First, given the difference in capability to deliver ICU-like care on the general floors between the US and Japanese hospitals, we are unable to ascertain the differences in outcomes for patients treated on the floor who may have benefited from ICU care, if it had been provided. Second, the sample of hospitals in the United States was designed to be statistically representative of the majority of hospitals providing ICU care.