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document
Loss of autonomy among elderly patients after a stay in a medical intensive care unit ( ICU ) : a randomized study of the benefit of transfer to a geriatric ward . In order to evaluate changes in the functional autonomy of elderly patients after a stay in a medical intensive care unit ( ICU ) , and the impact of post-ICU management in geriatric ward , we included in a randomized controlled trial 45 patients aged > or=75 years . They were assessed for functional autonomy before ICU stay , just after ICU discharge , just after hospital discharge , and 6 months later . The patients were randomly divided into two post-ICU management groups : " geriatric ward " and " standard care " . Autonomy was usually recovered rapidly , but the degree of recovery depended on the patient 's previous autonomy ( p < 0.0001 ) . At the last assessment , 41 % of the patients had recovered their previous autonomy . The mean Barthel indexes were 81.5+/-30.4 in the geriatric management arm and 70.5+/-33.4 in the standard management arm ( p=0.4 ) . The study was prematurely ended due to insufficient recruitment flow . These results underline the rapid loss of autonomy after a stay in a medical ICU . Early specific intervention to improve the autonomy of elderly patients seems an attractive solution that could be assessed by randomized controlled trial . Above all , our results should also serve as a basis for further controlled randomized studies in this setting .
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Intervention_Other
post-ICU management
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Intervention_Other
geriatric ward
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Intervention_Other
post-ICU management
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Intervention_Other
" geriatric ward "
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Intervention_Other
" standard care "
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Outcome_Physical
rapid loss of autonomy after a stay in a medical ICU
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Participant_Condition
elderly patients after a stay in a medical intensive care unit ( ICU ) :
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Participant_Age
elderly
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Participant_Condition
stay in a medical intensive care unit ( ICU
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Participant_Sample-size
45
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Participant_Age
aged > or=75 years
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Participant_Age
elderly patients