ArticleEuropean geriatric medicine2026
Impact of hospitalization in an acute geriatric ward after ICU discharge for patients aged 80 and over: a cohort study.
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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Abstract
purposeBeyond 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).
methodsWe 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.
resultsOut 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).
conclusionDespite 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.
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