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.
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页数:8
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