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With the marked increase in life expectancy achieved during the past century, we can expect that the elderly population will continue to grow disproportionately during the next 50 years. The oldest of the elderly, persons 85 years of age or older, now represent the fastest-growing group not only in developed countries as a whole, but also in emergency departments, intensive care units, and hospital wards. In recent years, much has been learned about the physiologic and pathologic consequences of aging and the varied clinical manifestations of disease in the elderly. The spectrum of illness in middle-aged adults is similar to
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