Evidence map›Paper›PMID 42243605›Full record

ArticleEuropean geriatric medicine2026

Creation of a dedicated post-intensive care geriatric unit (PIGU), proof of concept and preliminary results.

Luca Royer, Jeremie Joffre, Sixtine Olivier, Celine Bianco, Helena Allera, Caroline Thomas, Louaï Missri, Eric Maury, Bertrand Guidet, Hélène Vallet

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In one paragraph

Article in European geriatric medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Luca RoyerSorbonne Université, Centre d'Immunologie Et Des Maladies Infectieuses, INSERM, CIMI, 75013, Paris, France.
Jeremie JoffreSorbonne Université, Saint Antoine Research Center, INSERM U938, Paris, France.
Sixtine OlivierService Gériatrie Aigue Et Post-Réanimation Gériatrique (PIGU), AP-HP, Hôpital Saint Antoine, 75012, Paris, France.
Celine BiancoService Gériatrie Aigue Et Post-Réanimation Gériatrique (PIGU), AP-HP, Hôpital Saint Antoine, 75012, Paris, France.
Helena AlleraService Gériatrie Aigue Et Post-Réanimation Gériatrique (PIGU), AP-HP, Hôpital Saint Antoine, 75012, Paris, France.
Caroline ThomasService Gériatrie Aigue Et Post-Réanimation Gériatrique (PIGU), AP-HP, Hôpital Saint Antoine, 75012, Paris, France.
Louaï MissriMedical Intensive Care Unit, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.
Eric MauryMedical Intensive Care Unit, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.
Bertrand GuidetMedical Intensive Care Unit, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.
Hélène ValletSorbonne Université, Centre d'Immunologie Et Des Maladies Infectieuses, INSERM, CIMI, 75013, Paris, France. helene.vallet@aphp.fr.ORCID http://orcid.org/0000-0002-3593-5055

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOlder patients' admissions to intensive care units (ICUs) are rising worldwide, driven by population aging, and are associated with high rates of mortality and functional decline. Despite expert recommendations for improved care pathways, post-ICU follow-up remains fragmented. This study aimed to evaluate the 3-month survival rate free of functional decline and its associated factors in older post-ICU patients admitted to a dedicated Post-Intensive care Geriatric Unit (PIGU).

methodsThis single-center, cohort study included 104 patients aged 75 years or older, admitted to the PIGU at St Antoine Hospital from January 2023 to July 2023 and from January 2025 to July 2025. The primary outcome was survival free of functional decline at 3 months, defined as a loss of more than one point on the ADL score compared to pre-ICU baseline.

resultsThe study population comprised 104 patients (52 women, 50%; median age 82 (79-86) years; median ADL 6 (5-6), IADL 4 (2-4), CFS 4 (3-5). The 3-month survival rate free of functional decline was 64%, with 77% of survivors regaining their previous level of autonomy. Lesser ICU-acquired weakness (CPAx score 1.22 [1.05-1.54]) and higher brachial circumference (OR 1.6 [1.12-2.62]) were significantly associated with survival without loss of autonomy.

conclusionIn this single-center observational study, early geriatric care in a dedicated post-ICU unit was associated with satisfactory 3-month survival free of functional decline and autonomy recovery. These findings support the development of dedicated geriatric programs for older post-ICU patients, though multicenter studies are warranted to confirm these results.

Indexed as

Critical CareGeriatric AssessmentIntensive Care UnitsActivities of Daily LivingAgedAged, 80 and overFemaleHumansMaleSurvival RateDedicated geriatric unitFunctional recoveryIntensive care unitOld patientsQuality of life

Identifiers

PMID42243605

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.