Tommy Raveau1, Cédric Annweiler2, Nicolas Chudeau3, Soizic Gergaud4, Samuel Thiery2, Jennifer Gautier2, Olivier Beauchet2, Alain Mercat3, Nicolas Lerolle3. 1. Département de réanimation médicale et de médecine hyperbare, CHU d'Angers, France, Département d'anesthésie réanimation, CHU d'Angers, France. 2. Pôle de neurosciences, Service de gérontologie clinique, CHU d'Angers, France. 3. Département de réanimation médicale et de médecine hyperbare, CHU d'Angers, France. 4. Département d'anesthésie réanimation, CHU d'Angers, France.
Abstract
BACKGROUND: long-term outcomes of elderly patients after an intensive care unit (ICU) stay are not fully elucidated. The objective of the pre-Seniorea study was to examine the feasibility of comprehensive geriatric assessment (CGA) during and after the ICU stay. METHODS: inpatients aged 75 years and over admitted to medical and surgical ICUs of Angers University Hospital, France, from june to september 2012, received a SGA (assessment of morbidities, frailty, cognition, anxiety, mood, nutrition, functional abilities, motor function, pain, caregiver burden and quality of life) at ICU admission (through a proxy interview), at the end of the ICU stay, and 3 month later in the place of life. RESULTS: fifty-two patients were included (81 [78; 83] years (median [25(th); 75(th) percentile]); 35 males; SAPSII 47 [38; 56]; 80% ventilation). ICU survival was 73% (n=38), 58% (n=30) after three months, and 54% (n=28) after 12 months. The CGA at ICU admission was performed in all patients and lasted 10 [5; 10] minutes. The CGA at discharge was performed in all survivors and lasted 10 [5; 15] minutes. In all, 26 survivors received CGA in their place of life after 3 months. Travel time by evaluators was 42 minutes, and time on site 45 [45; 60] minutes. At 3 months, 85% of surviving patients were at home and felt happy, 80% had preserved autonomy. The only variable predictive of survival at three months was the SAPSII score. CONCLUSION: the follow-up of elderly inpatient admitted to ICU with repeated CGAs, including long-term evaluations in the place of life, was feasible and well-accepted. These results set the place for larger multicentric trials.
BACKGROUND: long-term outcomes of elderly patients after an intensive care unit (ICU) stay are not fully elucidated. The objective of the pre-Seniorea study was to examine the feasibility of comprehensive geriatric assessment (CGA) during and after the ICU stay. METHODS: inpatients aged 75 years and over admitted to medical and surgical ICUs of Angers University Hospital, France, from june to september 2012, received a SGA (assessment of morbidities, frailty, cognition, anxiety, mood, nutrition, functional abilities, motor function, pain, caregiver burden and quality of life) at ICU admission (through a proxy interview), at the end of the ICU stay, and 3 month later in the place of life. RESULTS: fifty-two patients were included (81 [78; 83] years (median [25(th); 75(th) percentile]); 35 males; SAPSII 47 [38; 56]; 80% ventilation). ICU survival was 73% (n=38), 58% (n=30) after three months, and 54% (n=28) after 12 months. The CGA at ICU admission was performed in all patients and lasted 10 [5; 10] minutes. The CGA at discharge was performed in all survivors and lasted 10 [5; 15] minutes. In all, 26 survivors received CGA in their place of life after 3 months. Travel time by evaluators was 42 minutes, and time on site 45 [45; 60] minutes. At 3 months, 85% of surviving patients were at home and felt happy, 80% had preserved autonomy. The only variable predictive of survival at three months was the SAPSII score. CONCLUSION: the follow-up of elderly inpatient admitted to ICU with repeated CGAs, including long-term evaluations in the place of life, was feasible and well-accepted. These results set the place for larger multicentric trials.
Entities:
Keywords:
comprehensive geriatric assessment (CGA); elderly; feasibility; intensive care unit; quality of life
Authors: Sina Nikayin; Anahita Rabiee; Mohamed D Hashem; Minxuan Huang; O Joseph Bienvenu; Alison E Turnbull; Dale M Needham Journal: Gen Hosp Psychiatry Date: 2016-08-28 Impact factor: 3.238
Authors: Johannes Maurus; Tobias Terzer; Axel Benner; Sabine Goisser; Annette Eidam; Anja Roth; Maike Janssen; Sonia Jaramillo; Hannes Martin Lorenz; William Micol; Klaus Hauer; Carsten Müller-Tidow; Jürgen M Bauer; Karin Jordan; Nina Rosa Neuendorff Journal: J Cachexia Sarcopenia Muscle Date: 2021-12-12 Impact factor: 12.910