Geriatric Assessment at Discharge From the Intensive Care Unit in Patients Aged 75 Years and Older: a Feasibility Study

What this Trial Is About

The number of patients aged over 75 admitted to intensive care units is increasing, with up to 10-20% of critical care admissions being patients over 80. Admission of these elderly patients is debated due to concerns about survival and quality of life after intensive care, as many survivors experience impaired function. This study aims to evaluate the feasibility of conducting a comprehensive geriatric assessment at ICU discharge or within 7 days, and again at 6 months, to better understand and manage post-ICU outcomes in this population. Participants will be randomly assigned to either a group receiving a geriatric assessment by a physician within 7 days after ICU discharge or a group without this early assessment. The assessment covers clinical, physical, psychological, and social factors including quality of life, depression, mobility, nutrition, cognition, and living conditions. Both groups will have a follow-up visit at 6 months with similar evaluations and additional data on hospitalizations, treatments, and family burden. During the study, participants will undergo assessments of medical history, ICU stay details, and comprehensive geriatric evaluations at discharge and six months later. Researchers will measure rates of completed assessments, frailty, hospital stays, treatment changes, quality of life changes, psychological and cognitive status, and organ function over time. This study is conducted by the University Hospital in Strasbourg and aims to improve care for elderly ICU survivors through better understanding of their needs after intensive care.

Geriatric Assessment at Discharge From the Intensive Care Unit in Patients Aged 75 Years and Older: a Feasibility Study