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In younger people, hospitalisation is usually the result of a serious illness or injury, such as sepsis or major trauma. Management can be underpinned by evidence\u2010based algorithms relating to the precipitating insult and recovery usually follows a predictable trajectory. In older people who are frail, on the other hand, admission to hospital may be triggered by an illness that may seem minor, such as a viral infection, which causes a geriatric syndrome. A fall or delirium with no major precipitant should be considered an indicator of frailty. Promptly recognising the acute illness and the increased risk for hospital\u2010associated complications is essential for providing safe systems of care for frail older people. Early consideration of health assets and engagement of families and community services can have an important role in successful recovery during and beyond the hospital stay. Effective decision\u2010making about clinical interventions can benefit from explicit assessment of frailty status and consideration of patient priorities.<\/jats:p>","DOI":"10.1111\/imj.14182","type":"journal-article","created":{"date-parts":[[2019,1,25]],"date-time":"2019-01-25T01:29:31Z","timestamp":1548379771000},"page":"28-33","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Management of frail older people with acute illness"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0242-2165","authenticated-orcid":false,"given":"Alison M.","family":"Mudge","sequence":"first","affiliation":[{"name":"Department of Internal Medicine and Aged Care Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8688-5836","authenticated-orcid":false,"given":"Ruth E.","family":"Hubbard","sequence":"additional","affiliation":[{"name":"Centre for Health Services Research The University of Queensland  Brisbane Queensland Australia"},{"name":"PA\u2010Southside Clinical Unit, School of Clinical Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,24]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Australian Institute of Heatlh and Welfare. 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