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.

中文翻译：

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老年患者多发病的管理：准备好迎接重症监护中的精准医疗了吗？

人口老龄化和人口寿命不断延长，以前具有破坏性和往往致命的疾病现在转变为慢性病。这正在将多种疾病转变为重症监护领域的一项重大挑战。经过多年的研究和创新，主要是在老年护理方面，多发病的概念现在需要微调，以支持患者在整个医疗保健过程中的决策，包括重症监护病房 (ICU)。本文将讨论当前的挑战并提出使重症监护服务适应这些患者需求的方法。