title: [Comprehensive geriatric assessment in intensive care unit: a pilot study (pre-Seniorea)].
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.
  
  
  CONCLUSIONS
  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.
authors: Département de réanimation médicale et de médecine hyperbare, CHU d'Angers, France, Département d'anesthésie réanimation, CHU d'Angers, France.
authors: Tommy
authors: T
authors: Raveau
authors: Pôle de neurosciences, Service de gérontologie clinique, CHU d'Angers, France.
authors: Cédric
authors: C
authors: Annweiler
authors: Département de réanimation médicale et de médecine hyperbare, CHU d'Angers, France.
authors: Nicolas
authors: N
authors: Chudeau
authors: Département d'anesthésie réanimation, CHU d'Angers, France.
authors: Soizic
authors: S
authors: Gergaud
authors: Pôle de neurosciences, Service de gérontologie clinique, CHU d'Angers, France.
authors: Samuel
authors: S
authors: Thiery
authors: Pôle de neurosciences, Service de gérontologie clinique, CHU d'Angers, France.
authors: Jennifer
authors: J
authors: Gautier
authors: Pôle de neurosciences, Service de gérontologie clinique, CHU d'Angers, France.
authors: Olivier
authors: O
authors: Beauchet
authors: Département de réanimation médicale et de médecine hyperbare, CHU d'Angers, France.
authors: Alain
authors: A
authors: Mercat
authors: Département de réanimation médicale et de médecine hyperbare, CHU d'Angers, France.
authors: Nicolas
authors: N
authors: Lerolle
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D005602:France; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D063868:Patient Outcome Assessment; D010865:Pilot Projects; D011788:Quality of Life; D012151:Resuscitation; D016019:Survival Analysis
keywords: comprehensive geriatric assessment (CGA); elderly; feasibility; intensive care unit; quality of life