Prediction of Physical Frailty at Hospital Discharge in Critically Ill Older Patients

被引:0
|
作者
Nonoyama, Tadayoshi [1 ,5 ]
Kubota, Masafumi [1 ,2 ]
Takayama, Mami [1 ]
Hosokawa, Koji [3 ]
Matsumine, Akihiko [4 ]
机构
[1] Univ Fukui Hosp, Dept Rehabil, Eiheiji, Fukui, Japan
[2] Kanazawa Univ, Coll Med Pharmaceut & Hlth Sci, Sch Hlth Sci, Dept Phys Therapy,Grad Course Rehabil Sci, Kanazawa, Ishikawa, Japan
[3] Univ Fukui, Dept Anesthesiol & Reanimatol, Eiheiji, Fukui, Japan
[4] Univ Fukui, Dept Orthoped & Rehabil Med, Eiheiji, Fukui, Japan
[5] Univ Fukui Hosp, Dept Rehabil, 23-3 Matsuoka Shimoaizuki, Eiheiji, Fukui, Japan
关键词
physical frailty; older patients; intensive care unit; medical research council sum score; CRITICAL ILLNESS; HANDGRIP STRENGTH; DISABILITY; SURVIVORS; MORTALITY; CARE; ASSOCIATION; SARCOPENIA; OUTCOMES; ADULTS;
D O I
10.1080/02703181.2024.2324316
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
AimTo investigate predicting factors for physical frailty development at hospital discharge in older patients admitted to the intensive care unit (ICU).MethodsThis case-control study focused on ICU-admitted patients aged >= 65 years. This study assessed several independent variables, including functional status score for the ICU, Medical Research Council (MRC) sum score, and handgrip strength at ICU discharge. Physical frailty was the primary outcome of this study.ResultsIn total, 61 participants were included: 29 in the non-frailty group and 32 in the frailty group. Logistic regression analysis was used to extract only the MRC sum score at ICU discharge, with a cutoff score of 46 to predict physical frailty onset at hospital discharge. The functional status score for the ICU and handgrip strength were not extracted.ConclusionsAn MRC sum score <= 46 at hospital discharge can predict physical frailty in critically ill older patients admitted to the ICU.
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页数:11
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