The management of multi-morbidity in elderly patients: Ready yet for precision medicine in intensive care?
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 an...
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doaj-f96b76dccdab423193fbc11d497e0ded2021-09-12T11:03:57ZengBMCCritical Care1364-85352021-09-012511710.1186/s13054-021-03750-yThe management of multi-morbidity in elderly patients: Ready yet for precision medicine in intensive care?Michael Beil0Hans Flaatten1Bertrand Guidet2Sigal Sviri3Christian Jung4Dylan de Lange5Susannah Leaver6Jesper Fjølner7Wojciech Szczeklik8Peter Vernon van Heerden9Department of Medical Intensive Care, Hadassah Medical Center and Faculty of Medicine, Hebrew University of JerusalemDepartment of Anaesthesia and Intensive Care Medicine, Haukeland University HospitalService de Reanimation, Hopital Saint-AntoineDepartment of Medical Intensive Care, Hadassah Medical Center and Faculty of Medicine, Hebrew University of JerusalemDepartment of Cardiology, Pulmonology and Vascular Medicine, Faculty of Medicine, Heinrich-Heine-University DuesseldorfDepartment of Intensive Care Medicine, University Medical Center, University of UtrechtDepartment of Adult Critical Care, St George’s University Hospitals NHS Foundation TrustDepartment of Intensive Care, Aarhus University HospitalCenter for Intensive Care and Perioperative Medicine, Jagiellonian University Medical CollegeGeneral Intensive Care Unit, Department of Anesthesiology, Critical Care and Pain Medicine, Hadassah Medical Center and Faculty of Medicine, Hadassah University Hospital, Hebrew University of JerusalemAbstract 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.https://doi.org/10.1186/s13054-021-03750-yMulti-morbidityVery old intensive care patientsTime-limited trial |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Michael Beil Hans Flaatten Bertrand Guidet Sigal Sviri Christian Jung Dylan de Lange Susannah Leaver Jesper Fjølner Wojciech Szczeklik Peter Vernon van Heerden |
spellingShingle |
Michael Beil Hans Flaatten Bertrand Guidet Sigal Sviri Christian Jung Dylan de Lange Susannah Leaver Jesper Fjølner Wojciech Szczeklik Peter Vernon van Heerden The management of multi-morbidity in elderly patients: Ready yet for precision medicine in intensive care? Critical Care Multi-morbidity Very old intensive care patients Time-limited trial |
author_facet |
Michael Beil Hans Flaatten Bertrand Guidet Sigal Sviri Christian Jung Dylan de Lange Susannah Leaver Jesper Fjølner Wojciech Szczeklik Peter Vernon van Heerden |
author_sort |
Michael Beil |
title |
The management of multi-morbidity in elderly patients: Ready yet for precision medicine in intensive care? |
title_short |
The management of multi-morbidity in elderly patients: Ready yet for precision medicine in intensive care? |
title_full |
The management of multi-morbidity in elderly patients: Ready yet for precision medicine in intensive care? |
title_fullStr |
The management of multi-morbidity in elderly patients: Ready yet for precision medicine in intensive care? |
title_full_unstemmed |
The management of multi-morbidity in elderly patients: Ready yet for precision medicine in intensive care? |
title_sort |
management of multi-morbidity in elderly patients: ready yet for precision medicine in intensive care? |
publisher |
BMC |
series |
Critical Care |
issn |
1364-8535 |
publishDate |
2021-09-01 |
description |
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. |
topic |
Multi-morbidity Very old intensive care patients Time-limited trial |
url |
https://doi.org/10.1186/s13054-021-03750-y |
work_keys_str_mv |
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