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Purpose <p>Beyond age, increased mortality among older patients admitted in Intensive Care Unit (ICU) is highly correlated to geriatrics factors including autonomy and frailty. A global geriatric approach may improve outcomes in this population.&#xa0;This study aimed to compare the 1-year mortality rate among patients hospitalized in an acute geriatric ward (AGW) following an ICU stay with that of patients transferred to any other ward (OW).</p> Methods <p>We conducted a multicenter retrospective cohort study including patients aged 80 and over who were discharged alive from intensive care. The primary outcome was 1-year mortality. Secondary outcomes were factors associated with 1-year mortality.</p> Results <p>Out of a total of 656 included patients, 198 were admitted to AGW and 458 to OW. One-year mortality did not differ significantly between groups (37% vs 38% respectively, p = 0.93). Nonetheless, patients in the AGW cohort were older (85 vs 84&#xa0;years old respectively, p = 0.0005), were more dependent (ADL 5 [5–6] vs 6 [6–6], p = 0.001) and frailer (CFS 4 [4–5] vs 4 [4–4]; p = 0.028). In multivariate analysis, independent risk factors for 1-year mortality were a history of cardiac failure (aRR = 1.54 [1.09- 2.18]; p = 0.014) and higher severity according to Diagnosis-Related Group (DRG aRR = 1.71 [1.28–2.29]; p = 0.0003) and SAPS II score (aRR = 1.01 [1.00–1.02]; p = 0.046).</p> Conclusion <p>Despite being older, frailer, more frequently dependent, patients admitted to AGW had similar 1-year mortality compared with those admitted in other wards. Severity assessed by DRG and SAPS II scores, and a history of cardiac failure were factors associated to 1&#xa0;year mortality.</p>

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Impact of hospitalization in an acute geriatric ward after ICU discharge for patients aged 80 and over: a cohort study

  • 期刊论文

  • 发表日期：

    2026年7月17日

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  • Mathilde Falieres,
  • Aurelia Retbi,
  • Caroline Thomas,
  • Muriel Fartoukh,
  • Marie Lecronier,
  • Eric Bouvard,
  • Jacques Boddaert,
  • Sophie Tezenas du Montcel,
  • Bertrand Guidet,
  • Hélène Vallet

摘要

Purpose

Beyond age, increased mortality among older patients admitted in Intensive Care Unit (ICU) is highly correlated to geriatrics factors including autonomy and frailty. A global geriatric approach may improve outcomes in this population. This study aimed to compare the 1-year mortality rate among patients hospitalized in an acute geriatric ward (AGW) following an ICU stay with that of patients transferred to any other ward (OW).

Methods

We conducted a multicenter retrospective cohort study including patients aged 80 and over who were discharged alive from intensive care. The primary outcome was 1-year mortality. Secondary outcomes were factors associated with 1-year mortality.

Results

Out of a total of 656 included patients, 198 were admitted to AGW and 458 to OW. One-year mortality did not differ significantly between groups (37% vs 38% respectively, p = 0.93). Nonetheless, patients in the AGW cohort were older (85 vs 84 years old respectively, p = 0.0005), were more dependent (ADL 5 [5–6] vs 6 [6–6], p = 0.001) and frailer (CFS 4 [4–5] vs 4 [4–4]; p = 0.028). In multivariate analysis, independent risk factors for 1-year mortality were a history of cardiac failure (aRR = 1.54 [1.09- 2.18]; p = 0.014) and higher severity according to Diagnosis-Related Group (DRG aRR = 1.71 [1.28–2.29]; p = 0.0003) and SAPS II score (aRR = 1.01 [1.00–1.02]; p = 0.046).

Conclusion

Despite being older, frailer, more frequently dependent, patients admitted to AGW had similar 1-year mortality compared with those admitted in other wards. Severity assessed by DRG and SAPS II scores, and a history of cardiac failure were factors associated to 1 year mortality.