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One for the ages: optimizing geriatric care in the intensive care unit
Tanya Egodage1, Purvi Pravinchandra Patel2,3
1Surgery, Cooper University Health Care, Camden, New Jersey, USA.
Trauma Surgery & Acute Care Open
|June 16, 2025
Summary
Older adults are increasingly admitted to intensive care units (ICUs). This review covers evidence-based practices for geriatric critical care, focusing on optimizing outcomes and respecting patient wishes for this growing population.
Area of Science:
- Geriatric Medicine
- Critical Care Medicine
- Internal Medicine
Background:
- A growing percentage of intensive care unit (ICU) admissions involve patients over 65.
- Geriatric critical care necessitates tailored strategies to improve patient outcomes and align with their preferences.
Purpose of the Study:
- To review evidence-based practices for enhancing the care of older adult patients in the ICU.
- To highlight the importance of a nuanced approach in geriatric critical care.
Main Methods:
- Review of current evidence-based practices for older adults in ICUs.
- Focus on protocols and multidisciplinary care targeting clinical status, preventing deterioration, and managing comorbidities.
Main Results:
- Identification of at-risk older patients is crucial.
- Multidisciplinary care plans are essential for managing altered physiology and comorbidities.
- Preventing neurologic and physical decline is a key component.
Conclusions:
- Optimizing geriatric critical care requires proactive identification and tailored interventions.
- A multidisciplinary, evidence-based approach can improve outcomes for older ICU patients.
- Addressing the unique physiological changes and comorbidities in older adults is paramount.
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