Relationship between the Clinical Frailty Scale and short-term mortality in patients ≥ 80 years old acutely admitted to the ICU: a prospective cohort study

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Relationship between the Clinical Frailty Scale and short-term mortality in patients ≥ 80 years old acutely admitted to the ICU : a prospective cohort study

Fronczek, Jakub (författare): Jagiellonian Univ Med Coll, Poland,Jagiellonian University

Polok, Kamil (författare): Jagiellonian Univ Med Coll, Poland,Jagiellonian University

de Lange, Dylan W. (författare): Univ Utrecht, Netherlands,Utrecht University

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Jung, Christian (författare): Heinrich Heine Univ, Germany,Heinrich Heine University Düsseldorf,University Hospital of Düsseldorf

Beil, Michael (författare): Hadassah Med Ctr, Israel,Hadassah University Hospital

Rhodes, Andrew (författare): St Georges Univ Hosp NHS Fdn Trust, England,St George's, University of London

Fjølner, Jesper (författare): Aarhus Univ Hosp, Denmark,Aarhus University Hospital

Górka, Jacek (författare): Jagiellonian Univ Med Coll, Poland,Jagiellonian University

Andersen, Finn H. (författare): Alesund Hosp, Norway; NITNU, Norway,Norwegian University of Science and Technology,Ålesund Hospital

Artigas, Antonio (författare): Autonomous Univ Barcelona, Spain,Autonomous University of Barcelona

Cecconi, Maurizio (författare): Humanitas Clin & Res Ctr IRCCS, Italy; Humanitas Univ, Italy,Humanitas University

Christensen, Steffen (författare): Aarhus Univ Hosp, Denmark,Aarhus University Hospital

Joannidis, Michael (författare): Med Univ Innsbruck, Austria,Medical University of Innsbruck

Leaver, Susannah (författare): Crit Care Directorate St Georges Hosp, England,St George's Hospital, London

Marsh, Brian (författare): Mater Misericordiae Univ Hosp, Ireland,Mater Misericordiae University Hospital

Morandi, Alessandro (författare): Dept Rehabil Hosp Ancelle Cremona Italy, Italy,Hospital Ancelle di Cremona

Moreno, Rui (författare): Ctr Hosp Univ Lisboa Cent, Portugal,Hospital de São José

Oeyen, Sandra (författare): Ghent Univ Hosp, Belgium,Ghent University Hospital

Agvald-Öhman, Christina (författare): Karolinska Univ Hosp, Sweden

Bollen Pinto, Bernardo (författare): Geneva Univ Hosp, Switzerland,Geneva University Hospital

Schefold, Joerg C. (författare): Univ Bern, Switzerland,Bern University Hospital

Valentin, Andreas (författare): Kardinal Schwarzenberg Hosp, Austria,Cardinal Schwarzenberg Hospital

Walther, Sten (författare): Linköping University,Linköpings universitet,Avdelningen för kardiovaskulär medicin,Medicinska fakulteten,Region Östergötland, Thorax-kärlkliniken i Östergötland

Watson, Ximena (författare): St Georges Univ Hosp NHS Fdn Trust, England,St George's Hospital, London

Zafeiridis, Tilemachos (författare): Gen Hosp Larissa, Greece,University Hospital of Larissa

Sviri, Sigal (författare): Hebrew Univ Jerusalem, Israel; Hebrew Univ Jerusalem, Israel,Hebrew University of Jerusalem

van Heerden, Peter Vernon (författare): Hebrew Univ Jerusalem, Israel; Hebrew Univ Jerusalem, Israel,Hebrew University of Jerusalem

Flaatten, Hans (författare): Haukeland Hosp, Norway; Univ Bergen, Norway,University of Bergen,Haukeland University Hospital

Guidet, Bertrand (författare): UPMC Univ Paris 06, France,Institut Pierre Louis d’Epidémiologie et de Santé Publique,Hospital Saint-Antoine,Paris-Sorbonne University

Szczeklik, Wojciech (författare): Jagiellonian Univ Med Coll, Poland,Jagiellonian University

Brorsson, Camilla (bidragsgivare): Umeå universitet,Anestesiologi och intensivvård

Agvald-Öhman, Sandra (författare): Karolinska University Hospital

Spångfors, Martin (creator_code:cre_t): Lund University,Lunds universitet,Anestesiologi och intensivvård,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Centrum för hjärtstopp,Forskargrupper vid Lunds universitet,SWECRIT,Anesthesiology and Intensive Care,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Center for cardiac arrest,Lund University Research Groups

Cronberg, Tobias (creator_code:cre_t): Lund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Centrum för hjärtstopp,Forskargrupper vid Lunds universitet,Brain Injury After Cardiac Arrest,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Center for cardiac arrest,Lund University Research Groups

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2021-07-01
2021
Engelska.
Ingår i: Critical Care. - : BioMed Central (BMC). - 1364-8535 .- 1466-609X. ; 25:1

Relaterad länk:: https://doi.org/10.1...; visa fler...; https://umu.diva-por... (primary) (Raw object); https://ccforum.biom...; https://liu.diva-por... (primary) (Raw object); http://dx.doi.org/10... (free); https://urn.kb.se/re...; https://doi.org/10.1...; https://urn.kb.se/re...; https://lup.lub.lu.s...; visa färre...

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BACKGROUND: The Clinical Frailty Scale (CFS) is frequently used to measure frailty in critically ill adults. There is wide variation in the approach to analysing the relationship between the CFS score and mortality after admission to the ICU. This study aimed to evaluate the influence of modelling approach on the association between the CFS score and short-term mortality and quantify the prognostic value of frailty in this context.METHODS: We analysed data from two multicentre prospective cohort studies which enrolled intensive care unit patients ≥ 80 years old in 26 countries. The primary outcome was mortality within 30-days from admission to the ICU. Logistic regression models for both ICU and 30-day mortality included the CFS score as either a categorical, continuous or dichotomous variable and were adjusted for patient's age, sex, reason for admission to the ICU, and admission Sequential Organ Failure Assessment score.RESULTS: The median age in the sample of 7487 consecutive patients was 84 years (IQR 81-87). The highest fraction of new prognostic information from frailty in the context of 30-day mortality was observed when the CFS score was treated as either a categorical variable using all original levels of frailty or a nonlinear continuous variable and was equal to 9% using these modelling approaches (p < 0.001). The relationship between the CFS score and mortality was nonlinear (p < 0.01).CONCLUSION: Knowledge about a patient's frailty status adds a substantial amount of new prognostic information at the moment of admission to the ICU. Arbitrary simplification of the CFS score into fewer groups than originally intended leads to a loss of information and should be avoided. Trial registration NCT03134807 (VIP1), NCT03370692 (VIP2).

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Av lärosätet: Umeå universitet; Linköpings universitet; Lunds universitet

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Relationship between the Clinical Frailty Scale and short-term mortality in patients ≥ 80 years old acutely admitted to the ICU : a prospective cohort study

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