Perioperative medicine & outcomes

Frailty and long-term survival of non-cancer patients admitted to intensive care after surgery: a retrospective multicentre cohort study

Br J AnaesthPublished Retrospective cohort study

Authors' conclusion

In this multicentre study, frailty was associated with shorter time to death amongst postoperative ICU patients without cancer. The association was concordant across all subgroups.

Study context

Population
Adults aged ≥16 yr without cancer admitted to 175 Australian ICUs after surgery, January 2018–March 2022
Participants
216,922 adults
Exposure
Frail vs not frail
  • Frailtyn = 30,860
Outcome
Survival time after ICU admission
Follow-up
Up to 4 yr
Methodological detailsmulticentre, registry linkage, mixed-effects Cox regression
  • Multicentre
  • Registry linkage
  • Mixed-effects Cox regression

Main finding

Overall survival time · up to 4 yr after ICU admission

HR for death

2.33

95% CI 2.26–2.40

By group

Frail vs Not frail
HR for death 2.33 (95% CI 2.26–2.40)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Association consistent across sensitivity analyses and subgroups
Association more pronounced in patients aged <65 yr, elective surgery, and without treatment limitations

Original publication

Frailty and long-term survival of non-cancer patients admitted to intensive care after surgery: a retrospective multicentre cohort study. Br J Anaesth. Published 23 April 2025. doi:10.1016/j.bja.2025.03.002

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