The management of multi-morbidity in elderly patients: Ready yet for precision medicine in intensive care?

Michael Beil, Hans Flaatten, Bertrand Guidet, Sigal Sviri, Christian Jung, Dylan de Lange, Susannah Leaver, Jesper Fjølner, Wojciech Szczeklik, Peter Vernon van Heerden

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Abstract

There is ongoing demographic ageing and increasing longevity of the population, with previously devastating and often-fatal diseases now transformed into chronic conditions. This is turning multi-morbidity into a major challenge in the world of critical care. After many years of research and innovation, mainly in geriatric care, the concept of multi-morbidity now requires fine-tuning to support decision-making for patients along their whole trajectory in healthcare, including in the intensive care unit (ICU). This article will discuss current challenges and present approaches to adapt critical care services to the needs of these patients.

Original languageEnglish
Article number330
Pages (from-to)1-7
Number of pages7
JournalCritical care (London, England)
Volume25
Issue number1
DOIs
Publication statusPublished - 10 Sept 2021

Keywords

  • Multi-morbidity
  • Time-limited trial
  • Very old intensive care patients

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