Health Services Research & Outcome

The Health Services Research & Outcome (HSRO) section is led by Michael Beil.
HSRO News
WhatsApp Community
If you want to stay up to date with everything happening within the Health Services Research & Outcome Section, join the WhatsApp Community here.
Resources
Education
Courses
Research Pathway
Fostering Sustainable Practices in Intensive Care
Webinars and Podcasts
Webinars
– From cruise ship to ICU: Hantavirus preparedness for Europe
– SSC Webinar 1: infection management
– SSC Webinar 2: Haemodynamic and fluid management
– sCAP: Are we ready for the winter?
– SSC Webinar 3: respiratory support and adjuntive therapies
– SSC Webinar 4: the patient perspective
– Environmental Sustainability – pathways to sustainable intensive care
– Getting started in experimental research
Podcasts
– Post ICU outcomes and follow up
– Prehabilitation in the ICU
– Diabetes mellitus in old critically ill COVID-19 patients
Free webinars and podcasts are available for members & non members on LIVES-STREAM.
Use your ESICM credentials or create an account
Research
Projects
VIP3 study
Family involvement in treatment decisions for old ICU patients.
Susannah Leaver – 2026
VIP4 study
Impact of chronic and acute cardiovascular diseases in old intensive care patients.
Christian Jung – planned for 2026
Surveys
CORFU survey
Current practices of post-ICU follow-up and PICS screening.
Anne-Francoise Rousseau – closed in December 2025
Guidelines and consensus statement
2025
– Beil, M., Alberto, L., Bourne, R.S. et al. ESICM consensus-based recommendations for the management of very old patients in intensive care. Intensive Care Med 51, 287–301 (2025). https://doi.org/10.1007/s00134-025-07794-4 . Intensive Care Med (2025). Volume 51, pages 287–301, (2025). Published online on 17 February 2025.
– Monnet X., Messina A., Greco M. et al (2025) ESICM guidelines on circulatory shock and hemodynamic monitoring 2025. 27 Oct. 2025 https://www.esicm.org/esicm-guideline-circulatory-shock-haemodynamic-monitoring/ . https://doi.org/10.1007/s00134-025-08137-z Link to free access: https://rdcu.be/eQyqN
– Nolan J. P., Sandroni C., Cariou A. et al (2025) European Resuscitation Council and European Society of Intensive Care Medicine guidelines 2025: Post‑resuscitation Care. Intensive Care Med. 2025 Oct 22. doi: 10.1007/s00134–025-08117-3.
Framing the AI ecosystem in intensive care. under development
Relevant Literature
– Jung, C., Marschall, U., Hennig, B. et al. Five-year mortality and functional trajectories in older survivors of intensive care compared to the general population. Intensive Care Med 51, 2329–2340 (2025).
– Moreno R, Rhodes A, Ranzani O et al. Rationale and methodological approach underlying the development of the sequential Organ Failure Assessment (SOFA)-2 score. JAMA Netw Open. 2025 Oct 1;8(10):e2545040.
– Ebm, C., Istrate, M., Van Gelder, F. et al. Return on investment of rapid ICU workforce upskilling: an economic and cost-effectiveness analysis. Intensive Care Med 51, 1453–1461 (2025).
– Zajic, P., Engelbrecht, T., Graf, A. et al. Intensive care unit caseload and workload and their association with outcomes in critically unwell patients: a large registry-based cohort analysis. Crit Care 28, 304 (2024).
– Fuest, K.E., Ulm, B., Daum, N. et al. Clustering of critically ill patients using an individualized learning approach enables dose optimization of mobilization in the ICU. Crit Care 27, 1 (2023).
– Mousai, O., Tafoureau, L., Yovell, T. et al. Clustering analysis of geriatric and acute characteristics in a cohort of very old patients on admission to ICU. Intensive Care Med 48, 1726–1735 (2022).
– Mamandipoor B, Bruno RR, Wernly B, Wolff G, Fjølner J, et al. (2022) COVID-19 machine learning model predicts outcomes in older patients from various European countries, between pandemic waves, and in a cohort of Asian, African, and American patients. PLOS Digital Health 1(11): e0000136.
– Guidet, B., Jung, C., Flaatten, H. et al. Increased 30-day mortality in very old ICU patients with COVID-19 compared to patients with respiratory failure without COVID-19. Intensive Care Med 48, 435–447 (2022).
– Ivo W Soliman, Susannah Leaver, Hans Flaatten et al. Health-related quality of life in older patients surviving ICU treatment for COVID-19: results from an international observational study of patients older than 70 years, Age and Ageing, Volume 51, Issue 2, February 2022, afab278,
– Jung, C., Flaatten, H., Fjølner, J. et al. The impact of frailty on survival in elderly intensive care patients with COVID-19: the COVIP study. Crit Care 25, 149 (2021). https://doi.org/10.1186/s13054-021-03551-3
– Guidet, B., de Lange, D.W., Boumendil, A. et al. The contribution of frailty, cognition, activity of daily life and comorbidities on outcome in acutely admitted patients over 80 years in European ICUs: the VIP2 study. Intensive Care Med 46, 57–69 (2020).
Article Reviews
The old critical care patient’s journey – Collection of review articles – 2023-2024
The very old critical ill patient – Book (ed. Flaatten, Guidet and Vallet) – 2022
The trajectory of very old critically ill patients. Guidet et al. – 2024
Mortality of Older Patients Admitted to an ICU: A Systematic Review. Vallet et al. – 2021
The management of multi-morbidity in elderly patients. Beil et al. – 2021
Pandemic priority decisions and triage. Flaatten et al. – 2020