ICU sedation, delirium & recovery

Frailty and Long-Term Survival in Patients With Critical Illness After Nonhome Discharge: A Retrospective Cohort Study

Crit Care MedPublished Retrospective cohort study

Authors' conclusion

Frailty was independently associated with shorter time to death following a nonhome discharge after an ICU admission.

Study context

Population
Medical patients (≥ 16 yr) admitted to Australian and New Zealand ICUs with documented Clinical Frailty Scale (CFS) and nonhome discharge, January 1, 2018, to March 31, 2022
Participants
57,652 patients
Exposure
Frailty vs no frailty
  • Frailn = 17,383
Outcome
Survival time
Follow-up
Up to 4 years
Methodological detailsmulticentre, Cox proportional hazards regression with robust sandwich variance estimators
  • Multicentre
  • Cox proportional hazards regression with robust sandwich variance estimators

Main finding

Survival time up to 4 years

AHR for death

1.50

95% CI 1.43–1.57

By group

Frail vs Not frail
aHR for death 1.50 (95% CI 1.43–1.57)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeaHR for death (95% CI)
Death by age (subgroup)Frail vs Not frail · age <65 yr1.73 (1.59–1.88)
Death by age (subgroup)Frail vs Not frail · age 65-80 yr1.47 (1.38–1.57)
Death by age (subgroup)Frail vs Not frail · age >80 yr1.35 (1.26–1.45)
Death by nonhome discharge location (subgroup)Frail vs Not frail · discharged to rehabilitation1.52 (1.39–1.65)
Death by nonhome discharge location (subgroup)Frail vs Not frail · discharged to acute hospitals1.56 (1.48–1.65)
Death by nonhome discharge location (subgroup)Frail vs Not frail · discharged to RACF0.94 (0.83–1.06)

Original publication

Frailty and Long-Term Survival in Patients With Critical Illness After Nonhome Discharge: A Retrospective Cohort Study. Crit Care Med. Published 29 April 2025. doi:10.1097/ccm.0000000000006684

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