ESICM consensus-based recommendations for the management of very old patients in intensive care

Michael Beil; Laura Alberto; Richard S. Bourne; Nathan E. Brummel; Bas de Groot; Dylan W. de Lange; Paul Elbers; Marielle Emmelot-Vonk; Hans Flaatten; Yonathan Freund; Alessandro Galazzi; Ana Garcia-Martinez; Bertrand Guidet; Iva Holmerova; Jeremy M. Jacobs; Gavin M. Joynt; Susannah Leaver; Marc Leone; Bairbre McNicholas; David McWilliams; Victoria Metaxa; Christian H. Nickel; Daniele Poole; Chiara Robba; Kevin Roedl; Marc Romain; Anne-Françoise Rousseau; Sigal Sviri; Wojciech Szczeklik; Helene Vallet; James van Oppen; Christian Jung

doi:10.1007/s00134-025-07794-4

ESICM consensus-based recommendations for the management of very old patients in intensive care

Michael Beil, Laura Alberto, Richard S. Bourne, Nathan E. Brummel, Bas de Groot, Dylan W. de Lange, Paul Elbers, Marielle Emmelot-Vonk, Hans Flaatten, Yonathan Freund, Alessandro Galazzi, Ana Garcia-Martinez, Bertrand Guidet, Iva Holmerova, Jeremy M. Jacobs, Gavin M. Joynt, Susannah Leaver, Marc Leone, Bairbre McNicholas, David McWilliamsVictoria Metaxa, Christian H. Nickel, Daniele Poole, Chiara Robba, Kevin Roedl, Marc Romain, Anne-Françoise Rousseau, Sigal Sviri, Wojciech Szczeklik, Helene Vallet, James van Oppen, Christian Jung

Pharmacy

Research output: Contribution to journal › Article › peer-review

Abstract

The heterogeneity of very old patients (age ≥ 80 years) and the prevalence of complex geriatric syndromes in this cohort constitute major challenges for the classical methods of evidence-based medicine to inform clinical practice. The lack of robust guidance for the management of critical conditions in these patients contributes to considerable uncertainty among practitioners and unwarranted variations of care. The European Society of Intensive Care Medicine (ESICM) initiated a Delphi study to translate the empirical knowledge of experts in this field into consensus-based recommendations for clinical practice.

Original language	English
Journal	Intensive care medicine
DOIs	https://doi.org/10.1007/s00134-025-07794-4
Publication status	Published - 17 Feb 2025

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Beil, M., Alberto, L., Bourne, R. S., Brummel, N. E., de Groot, B., de Lange, D. W., Elbers, P., Emmelot-Vonk, M., Flaatten, H., Freund, Y., Galazzi, A., Garcia-Martinez, A., Guidet, B., Holmerova, I., Jacobs, J. M., Joynt, G. M., Leaver, S., Leone, M., McNicholas, B., ... Jung, C. (2025). ESICM consensus-based recommendations for the management of very old patients in intensive care. Intensive care medicine. https://doi.org/10.1007/s00134-025-07794-4

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title = "ESICM consensus-based recommendations for the management of very old patients in intensive care",

abstract = "The heterogeneity of very old patients (age ≥ 80 years) and the prevalence of complex geriatric syndromes in this cohort constitute major challenges for the classical methods of evidence-based medicine to inform clinical practice. The lack of robust guidance for the management of critical conditions in these patients contributes to considerable uncertainty among practitioners and unwarranted variations of care. The European Society of Intensive Care Medicine (ESICM) initiated a Delphi study to translate the empirical knowledge of experts in this field into consensus-based recommendations for clinical practice.",

author = "Michael Beil and Laura Alberto and Bourne, {Richard S.} and Brummel, {Nathan E.} and {de Groot}, Bas and {de Lange}, {Dylan W.} and Paul Elbers and Marielle Emmelot-Vonk and Hans Flaatten and Yonathan Freund and Alessandro Galazzi and Ana Garcia-Martinez and Bertrand Guidet and Iva Holmerova and Jacobs, {Jeremy M.} and Joynt, {Gavin M.} and Susannah Leaver and Marc Leone and Bairbre McNicholas and David McWilliams and Victoria Metaxa and Nickel, {Christian H.} and Daniele Poole and Chiara Robba and Kevin Roedl and Marc Romain and Anne-Fran{\c c}oise Rousseau and Sigal Sviri and Wojciech Szczeklik and Helene Vallet and {van Oppen}, James and Christian Jung",

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doi = "10.1007/s00134-025-07794-4",

language = "English",

journal = "Intensive care medicine",

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Beil, M, Alberto, L, Bourne, RS, Brummel, NE, de Groot, B, de Lange, DW, Elbers, P, Emmelot-Vonk, M, Flaatten, H, Freund, Y, Galazzi, A, Garcia-Martinez, A, Guidet, B, Holmerova, I, Jacobs, JM, Joynt, GM, Leaver, S, Leone, M, McNicholas, B, McWilliams, D, Metaxa, V, Nickel, CH, Poole, D, Robba, C, Roedl, K, Romain, M, Rousseau, A-F, Sviri, S, Szczeklik, W, Vallet, H, van Oppen, J & Jung, C 2025, 'ESICM consensus-based recommendations for the management of very old patients in intensive care', Intensive care medicine. https://doi.org/10.1007/s00134-025-07794-4

TY - JOUR

T1 - ESICM consensus-based recommendations for the management of very old patients in intensive care

AU - Beil, Michael

AU - Alberto, Laura

AU - Bourne, Richard S.

AU - Brummel, Nathan E.

AU - de Groot, Bas

AU - de Lange, Dylan W.

AU - Elbers, Paul

AU - Emmelot-Vonk, Marielle

AU - Flaatten, Hans

AU - Freund, Yonathan

AU - Galazzi, Alessandro

AU - Garcia-Martinez, Ana

AU - Guidet, Bertrand

AU - Holmerova, Iva

AU - Jacobs, Jeremy M.

AU - Joynt, Gavin M.

AU - Leaver, Susannah

AU - Leone, Marc

AU - McNicholas, Bairbre

AU - McWilliams, David

AU - Metaxa, Victoria

AU - Nickel, Christian H.

AU - Poole, Daniele

AU - Robba, Chiara

AU - Roedl, Kevin

AU - Romain, Marc

AU - Rousseau, Anne-Françoise

AU - Sviri, Sigal

AU - Szczeklik, Wojciech

AU - Vallet, Helene

AU - van Oppen, James

AU - Jung, Christian

PY - 2025/2/17

Y1 - 2025/2/17

N2 - The heterogeneity of very old patients (age ≥ 80 years) and the prevalence of complex geriatric syndromes in this cohort constitute major challenges for the classical methods of evidence-based medicine to inform clinical practice. The lack of robust guidance for the management of critical conditions in these patients contributes to considerable uncertainty among practitioners and unwarranted variations of care. The European Society of Intensive Care Medicine (ESICM) initiated a Delphi study to translate the empirical knowledge of experts in this field into consensus-based recommendations for clinical practice.

AB - The heterogeneity of very old patients (age ≥ 80 years) and the prevalence of complex geriatric syndromes in this cohort constitute major challenges for the classical methods of evidence-based medicine to inform clinical practice. The lack of robust guidance for the management of critical conditions in these patients contributes to considerable uncertainty among practitioners and unwarranted variations of care. The European Society of Intensive Care Medicine (ESICM) initiated a Delphi study to translate the empirical knowledge of experts in this field into consensus-based recommendations for clinical practice.

U2 - 10.1007/s00134-025-07794-4

DO - 10.1007/s00134-025-07794-4

M3 - Article

SN - 1432-1238

JO - Intensive care medicine

JF - Intensive care medicine

ER -

ESICM consensus-based recommendations for the management of very old patients in intensive care

Abstract

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