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The Clinical Frailt...
The Clinical Frailty Scale for mortality prediction of old acutely admitted intensive care patients: a meta-analysis of individual patient-level data
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- Bruno, Raphael Romano (författare)
- Heinrich Heine Univ Duesseldorf, Germany
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- Wernly, Bernhard (författare)
- Paracelsus Med Private Univ, Austria; Paracelsus Med Univ, Austria
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- Bagshaw, Sean M. (författare)
- Univ Alberta, Canada; Alberta Hlth Serv, Canada
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- van den Boogaard, Mark (författare)
- Radboud Univ Nijmegen, Netherlands
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- Darvall, Jai N. (författare)
- Royal Melbourne Hosp, Australia
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- de Geer, Lina (författare)
- Linköpings universitet,Avdelningen för klinisk kemi och farmakologi,Medicinska fakulteten,Region Östergötland, ANOPIVA US
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- Miguelena, Pablo Ruiz de Gopegui (författare)
- Hosp Univ Miguel Servet, Spain
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- Heyland, Daren K. (författare)
- Queens Univ, Canada
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- Hewitt, David (författare)
- Glasgow Royal Infirm Intens Care Unit, Scotland
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- Hope, Aluko A. (författare)
- Oregon Hlth & Sci Univ, OR USA
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- Langlais, Emilie (författare)
- Univ Rennes 1, France
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- Le Maguet, Pascale (författare)
- CHU Rennes, France; CH Quimper, France
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- Montgomery, Carmel L. (författare)
- Univ Alberta, Canada; Alberta Hlth Serv, Canada
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- Papageorgiou, Dimitrios (författare)
- Univ West Attica UWA Athens, Greece
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- Seguin, Philippe (författare)
- Univ Rennes 1, France
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- Geense, Wytske W. (författare)
- Radboud Univ Nijmegen, Netherlands
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- Silva-Obregon, J. Alberto (författare)
- Hosp Univ Guadalajara, Spain
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- Wolff, Georg (författare)
- Heinrich Heine Univ Duesseldorf, Germany
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- Polzin, Amin (författare)
- Heinrich Heine Univ Duesseldorf, Germany
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- Dannenberg, Lisa (författare)
- Heinrich Heine Univ Duesseldorf, Germany
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- Kelm, Malte (författare)
- Heinrich Heine Univ Duesseldorf, Germany; Univ Hosp Dusseldorf, Germany
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- Flaatten, Hans (författare)
- Univ Bergen, Norway
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- Beil, Michael (författare)
- Hebrew Univ Jerusalem, Israel
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- Franz, Marcus (författare)
- Friedrich Schiller Univ, Germany
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- Sviri, Sigal (författare)
- Hebrew Univ Jerusalem, Israel
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- Leaver, Susannah (författare)
- St Georges Univ Hosp NHS Fdn Trust, England
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- Guidet, Bertrand (författare)
- UPMC Univ Paris 06, France; Hop St Antoine, France
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- Boumendil, Ariane (författare)
- UPMC Univ Paris 06, France; Hop St Antoine, France
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- Jung, Christian (författare)
- Heinrich Heine Univ Duesseldorf, Germany
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(creator_code:org_t)
- SPRINGER, 2023
- 2023
- Engelska.
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Ingår i: Annals of Intensive Care. - : SPRINGER. - 2110-5820. ; 13:1
- Relaterad länk:
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https://liu.diva-por... (primary) (Raw object)
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visa fler...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background This large-scale analysis pools individual data about the Clinical Frailty Scale (CFS) to predict outcome in the intensive care unit (ICU). Methods A systematic search identified all clinical trials that used the CFS in the ICU (PubMed searched until 24th June 2020). All patients who were electively admitted were excluded. The primary outcome was ICU mortality. Regression models were estimated on the complete data set, and for missing data, multiple imputations were utilised. Cox models were adjusted for age, sex, and illness acuity score (SOFA, SAPS II or APACHE II). Results 12 studies from 30 countries with anonymised individualised patient data were included (n = 23,989 patients). In the univariate analysis for all patients, being frail (CFS >= 5) was associated with an increased risk of ICU mortality, but not after adjustment. In older patients (>= 65 years) there was an independent association with ICU mortality both in the complete case analysis (HR 1.34 (95% CI 1.25-1.44), p < 0.0001) and in the multiple imputation analysis (HR 1.35 (95% CI 1.26-1.45), p < 0.0001, adjusted for SOFA). In older patients, being vulnerable (CFS 4) alone did not significantly differ from being frail. After adjustment, a CFS of 4-5, 6, and >= 7 was associated with a significantly worse outcome compared to CFS of 1-3. Conclusions Being frail is associated with a significantly increased risk for ICU mortality in older patients, while being vulnerable alone did not significantly differ. New Frailty categories might reflect its "continuum" better and predict ICU outcome more accurately.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Nyckelord
- Frailty; Intensive care medicine; Outcome prediction; Systematic review; Individual patient-level data meta-analysis; Elderly
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- Av författaren/redakt...
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Bruno, Raphael R ...
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Wernly, Bernhard
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Bagshaw, Sean M.
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van den Boogaard ...
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Darvall, Jai N.
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de Geer, Lina
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visa fler...
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Miguelena, Pablo ...
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Heyland, Daren K ...
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Hewitt, David
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Hope, Aluko A.
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Langlais, Emilie
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Le Maguet, Pasca ...
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Montgomery, Carm ...
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Papageorgiou, Di ...
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Seguin, Philippe
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Geense, Wytske W ...
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Silva-Obregon, J ...
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Wolff, Georg
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Polzin, Amin
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Dannenberg, Lisa
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Kelm, Malte
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Flaatten, Hans
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Beil, Michael
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Franz, Marcus
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Sviri, Sigal
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Leaver, Susannah
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Guidet, Bertrand
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Boumendil, Arian ...
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Jung, Christian
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visa färre...
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och Klinisk medicin
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Annals of Intens ...
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