Perioperative medicine & outcomes

Characterizing ICU-like profiles of very old patients hospitalized in medical intermediate care units in France: A clustering analysis of a nationwide population-based study

Ann Intensive CarePublished Nationwide population-based cohort study with clustering analysis

Authors' conclusion

A substantial number of very old patients were admitted to IMCU despite meeting ICU-level criteria.

Study context

Population
Critically ill patients ≥80 y.o hospitalised in medical intermediate care units (IMCUs) in France over a two-year period
Participants
202,976 very old IMCU patients
Exposure
"ICU-like" IMCU patients vs propensity-matched ICU patients
  • "ICU-like" IMCUn = 23,508
Outcome
Clusters (phenotypes) of very old IMCU patients and factors associated with IMCU rather than ICU admission
Methodological detailslatent class analysis, propensity-score matched, multivariate logistic regression
  • Latent class analysis
  • Propensity-score matched
  • Multivariate logistic regression

Main finding

As reported in the abstract

IMCU phenotypes identified
seven
"ICU-like" population share of cohort
11.6%

Observational data: associations, not effects.

Original publication

Characterizing ICU-like profiles of very old patients hospitalized in medical intermediate care units in France: A clustering analysis of a nationwide population-based study. Ann Intensive Care. Published 30 January 2026. doi:10.1016/j.aicoj.2026.100031

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