Critical illness; Post-intensive care syndrome; Recovery; Trajectory; Very old; Humans; Intensive Care Units; Quality of Life; Aged, 80 and over; Recovery of Function; Survivors/psychology; Critical Illness/rehabilitation; Critical Illness/psychology; Critical Care/methods; Gerontology; Geriatrics and Gerontology
Abstract :
[en] [en] RESEARCH QUESTION: How can recovery trajectories after critical illness in very old ICU survivors be better understood and potentially modified across the continuum of care?
MAIN FINDINGS: Recovery trajectories in very old ICU survivors are highly heterogeneous and result from the interaction between baseline vulnerability (frailty, multimorbidity, social factors), the acute stress of critical illness, and individual resilience. Opportunities to influence these trajectories exist at multiple stages, including prehabilitation before ICU admission,brain- and neuromuscular-protective strategies during ICU stay, and structured, transdisciplinary post-ICU follow-up.
CONCLUSION: A shift from survival-focused metrics to a trajectory-based, transdisciplinary approach is essential to improve functional recovery and quality of life in very old ICU survivors.
Disciplines :
Anesthesia & intensive care
Author, co-author :
Rousseau, Anne-Françoise ; Université de Liège - ULiège > Département des sciences cliniques > Soins intensifs ; Centre Hospitalier Universitaire de Liège - CHU > > Service des soins intensifs généraux
Balde, Detlef; Division of Anesthesiology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago de Chile, Chile
Beil, Michael; Department of Medicine, National Health Service Scotland, Inverness, UK
Bruyère, Olivier ; Université de Liège - ULiège > Unité de recherche Santé publique, épidémiologie et économie de la santé (URSAPES)
Berger-Estilita, Joana; Institute of Anaesthesiology and Intensive Care, Salemspital, Hirslanden Medical Group, Bern, Switzerland ; Institute for Medical Education, University of Bern, Bern, Switzerland ; CINTESIS@RISE, Centre for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal
Language :
English
Title :
Improving long-term trajectories in very old survivors of intensive care: a narrative review.
Publication date :
August 2026
Journal title :
European Geriatric Medicine
ISSN :
1878-7649
eISSN :
1878-7657
Publisher :
Springer Science and Business Media Deutschland GmbH, Switzerland
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