Department of Medical Intensive Care, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Department of Anaesthesia and Intensive Care Medicine, Haukeland University Hospital, Bergen, Norway.
Crit Care. 2021 Sep 10;25(1):330. doi: 10.1186/s13054-021-03750-y.
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.
人口老龄化和人口寿命的延长正在持续,以前那些毁灭性的、往往致命的疾病现在已转变为慢性疾病。这使得多病共存成为重症监护领域的一大挑战。经过多年的研究和创新,主要是在老年护理领域,多病共存的概念现在需要进行精细化调整,以支持患者在整个医疗保健轨迹中的决策,包括在重症监护病房(ICU)。本文将讨论当前的挑战,并介绍适应这些患者需求的重症监护服务方法。