Evidence map›Paper›PMID 34507597›Full record

ArticleCritical care (London, England)2021

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

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07001410 (Geriatrics in the Intensive Care Unit. An Observational Clinical Trial), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07001410 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Geriatrics in the Intensive Care Unit. An Observational Clinical Trial

TypeobservationalSponsorHospital Departamental de VillavicencioRan2026 to 2027Enrolled1,000ConditionsGeriatricsArmsAge group
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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  16. Long-term recovery after critical illness in older adults.Current opinion in critical care · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 9 institutions in 8 countries.

Michael BeilDepartment of Medical Intensive Care, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Hans FlaattenDepartment of Anaesthesia and Intensive Care Medicine, Haukeland University Hospital, Bergen, Norway.
Bertrand GuidetService de Reanimation, Hopital Saint-Antoine, Paris, France.
Sigal SviriDepartment of Medical Intensive Care, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Christian JungDepartment of Cardiology, Pulmonology and Vascular Medicine, Faculty of Medicine, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany.
Dylan de LangeDepartment of Intensive Care Medicine, University Medical Center, University of Utrecht, Utrecht, The Netherlands.
Susannah LeaverDepartment of Adult Critical Care, St George's University Hospitals NHS Foundation Trust, London, UK.
Jesper FjølnerDepartment of Intensive Care, Aarhus University Hospital, Aarhus, Denmark.
Wojciech SzczeklikCenter for Intensive Care and Perioperative Medicine, Jagiellonian University Medical College, Kraków, Poland.
Peter Vernon van HeerdenGeneral Intensive Care Unit, Department of Anesthesiology, Critical Care and Pain Medicine, Hadassah Medical Center and Faculty of Medicine, Hadassah University Hospital, Hebrew University of Jerusalem, Jerusalem, Israel. vernon@hadassah.org.il.
Hebrew University of Jerusalem · ILAarhus University Hospital · DKHadassah Medical Center · ILHaukeland University Hospital · NOHeinrich Heine University Düsseldorf · DEHôpital Saint-Antoine · FRJagiellonian University · PLSt George’s University Hospitals NHS Foundation Trust · GBUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

AgedAged, 80 and overCritical CareFemaleHumansMaleMultimorbidityPrecision MedicinePrognosisRisk AssessmentMulti-morbidityTime-limited trialVery old intensive care patients

Identifiers

PMID34507597
PMCPMC8431262
OpenAlexW3197688022

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.