Frailty trajectories in ICU survivors: A comparison between the clinical frailty scale and the Tilburg frailty Indicator and association with 1 year mortality

被引:3
|
作者
Remelli, Francesca [1 ]
Scaramuzzo, Gaetano [3 ,4 ,8 ]
Capuzzo, Maurizia [4 ]
Maietti, Elisa [5 ]
Berselli, Angela [6 ]
Denti, Marianna [4 ]
Zani, Gianluca [7 ]
Squadrani, Eleonora [4 ]
La Rosa, Riccardo [3 ]
Volta, Carlo Alberto [3 ,4 ]
Volpato, Stefano [1 ,2 ]
Spadaro, Savino [3 ,4 ]
机构
[1] Univ Ferrara, Dept Med Sci, Ferrara, Italy
[2] Azienda Osped Univ Ferrara, Geriatr & Orthogeriatr Unit, Ferrara, Italy
[3] Univ Ferrara, Dept Translat Med, Ferrara, Italy
[4] Azienda Osped Univ Ferrara, Anesthesia & Intens Care, Ferrara, Italy
[5] Univ Bologna, Dept Biomed & Neuromotor Sci, Bologna, Italy
[6] Azienda Osped Carlo Poma, Anesthesia & Intens Care, Mantua, Italy
[7] Osped Santa Maria Croci, Anesthesia & Intens Care, Ravenna, Italy
[8] Univ Ferrara, Dept Translat Med & Romagna, Via Aldo Moro 8, I-44121 Ferrara, Italy
关键词
Frailty; Trajectories; Intensive care; Mortality; Clinical frailty scale; Tilburg frailty indicator; CRITICALLY-ILL PATIENTS; INTENSIVE-CARE-UNIT; ELDERLY-PATIENTS; OUTCOMES; IMPACT; RELIABILITY; MULTICENTER; DISABILITY; DISEASE;
D O I
10.1016/j.jcrc.2023.154398
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Purpose: To test the agreement of the Clinical Frailty Scale (CFS) and the Tilburg Frailty Indicator (TFI), their association with 3, 6 months and 1-year mortality and the trajectory of frailty in a mixed population of ICU survivors.Material and methods: This is a prospective, multicenter, longitudinal study on ICU survivors & GE;18 years old with an ICU stay >72 h. For each patient, sociodemographic and clinical data were collected. Frailty was assessed during ICU stay and at 3, 6, 12 months after ICU discharge, through both CFS and TFI.Results: 124 patients with a mean age of 66 years old were enrolled. The baseline prevalence of frailty was 15.3% by CFS and 44.4% by TFI. Baseline CFS and TFI correlated but showed low agreement (Cohen's K = 0.23, p < 0.001). Baseline CFS score, but not TFI, was significantly associated to 1 year mortality. Moreover, CFS score during the follow-up was independently associated 1-year mortality (OR = 1.43; 95% CI: 1.18-1.73).Conclusions: CFS and TFI identify different populations of frail ICU survivors. Frail patients before ICU according to CFS have a significantly higher mortality after ICU discharge. The CFS during follow-up is an independent negative prognostic factor of long-term mortality in the ICU population.
引用
收藏
页数:8
相关论文
共 50 条
  • [21] Association of Routine Preoperative Frailty Assessment With 1-Year Postoperative Mortality
    Varley, Patrick R.
    Buchanan, Dan
    Bilderback, Andrew
    Wisniewski, Mary Kay
    Johanning, Jason
    Nelson, Joel B.
    Johnson, Jonas T.
    Minnier, Tamra
    Hall, Daniel E.
    JAMA SURGERY, 2023, 158 (05) : 475 - 483
  • [22] Association between frailty, as measured by the FRAIL scale, and 1-year mortality in older patients undergoing hip fracture surgery
    Xi, Shaohua
    Wu, Zhibin
    Cui, Jian
    Yin, Suran
    Xi, Shaozhi
    Liu, Chaoyang
    BMC GERIATRICS, 2025, 25 (01)
  • [23] A comparison between the clinical frailty scale and the hospital frailty risk score to risk stratify older people with emergency care needs
    Abdullah Alshibani
    Tim Coats
    Laia Maynou
    Fiona Lecky
    Jay Banerjee
    Simon Conroy
    BMC Emergency Medicine, 22
  • [24] A comparison between the clinical frailty scale and the hospital frailty risk score to risk stratify older people with emergency care needs
    Alshibani, Abdullah
    Coats, Tim
    Maynou, Laia
    Lecky, Fiona
    Banerjee, Jay
    Conroy, Simon
    BMC EMERGENCY MEDICINE, 2022, 22 (01)
  • [25] Comparison between FRAIL Scale and Clinical Frailty Scale in predicting hospitalization in hemodialysis patients
    Barbosa, Elisabete Mouzinho Soares
    Pereira, Amanda Gomes
    Mori, Vitoria
    Neves, Renan da Silva
    Vieira, Nayane Maria
    Silva, Maryanne Zilli Canedo
    Seki, Marcos Mitsuo
    Rodrigues, Hellen Christina Neves
    Costa, Nara Aline
    Ponce, Daniela
    Balbi, Andre Luis
    Zornoff, Leonardo Antonio Mamede
    Azevedo, Paula Schmidt
    Polegato, Bertha Furlan
    de Paiva, Sergio Alberto Rupp
    Minicucci, Marcos Ferreira
    Dorna, Mariana de Souza
    JOURNAL OF NEPHROLOGY, 2023, 36 (03) : 687 - 693
  • [26] Comparison between FRAIL Scale and Clinical Frailty Scale in predicting hospitalization in hemodialysis patients
    Elisabete Mouzinho Soares Barbosa
    Amanda Gomes Pereira
    Vitória Mori
    Renan da Silva Neves
    Nayane Maria Vieira
    Maryanne Zilli Canedo Silva
    Marcos Mitsuo Seki
    Hellen Christina Neves Rodrigues
    Nara Aline Costa
    Daniela Ponce
    André Luís Balbi
    Leonardo Antonio Mamede Zornoff
    Paula Schmidt Azevedo
    Bertha Furlan Polegato
    Sérgio Alberto Rupp de Paiva
    Marcos Ferreira Minicucci
    Mariana de Souza Dorna
    Journal of Nephrology, 2023, 36 : 687 - 693
  • [27] The association between frailty, the metabolic syndrome, and mortality over the lifespan
    Alice E. Kane
    Edward Gregson
    Olga Theou
    Kenneth Rockwood
    Susan E. Howlett
    GeroScience, 2017, 39 : 221 - 229
  • [28] Comparison of the modified Frailty-Index based on laboratory tests and the Clinical Frailty Scale in predicting mortality among geriatric rehabilitation inpatients: RESORT
    Soh, Cheng Hwee
    Guan, Lihuan
    Reijnierse, Esmee M.
    Lim, Wen Kwang
    Maier, Andrea B.
    ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2022, 100
  • [29] Association between sedentary time and mortality across levels of frailty
    Theou, Olga
    Blodgett, Joanna M.
    Godin, Judith
    Rockwood, Kenneth
    CANADIAN MEDICAL ASSOCIATION JOURNAL, 2017, 189 (33) : E1056 - E1064
  • [30] The association between frailty, the metabolic syndrome, and mortality over the lifespan
    Kane, Alice E.
    Gregson, Edward
    Theou, Olga
    Rockwood, Kenneth
    Howlett, Susan E.
    GEROSCIENCE, 2017, 39 (02) : 221 - 229