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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Main Authors: Michael Beil, Hans Flaatten, Bertrand Guidet, Sigal Sviri, Christian Jung, Dylan de Lange, Susannah Leaver, Jesper Fjølner, Wojciech Szczeklik, Peter Vernon van Heerden
Format: Article
Language:English
Published: BMC 2021-09-01
Series:Critical Care
Subjects:
Online Access:https://doi.org/10.1186/s13054-021-03750-y
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spelling 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
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