Geriatric 5M’s in the ICU

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Olivia Geen MD, Andrew Perrella MD, Bram Rochwerg MD, MSc, Xuyi Mimi Wang, MD, MMed, Canadian Journal of Anesthesia, 2022.

ABSTRACT

Over 50% of patients in intensive care units (ICUs) in Canada are over the age of 65. Interest in integrating evidence-based geriatric principles in ICU care has increased as a result. Early involvement of geriatric services in the ICU has been suggested as one method of integration; however, a major limitation in Canada is the scarcity of geriatricians, with fewer than 400 nationally. Capacity building among critical care teams in geriatric principles may be a more feasible way to meet the needs of critically ill older adults. We propose a popular geriatric framework—the Geriatric 5Ms —which could be used by ICU teams to incorporate these geriatric concepts.