ICU sedation, delirium & recovery
Frailty trajectories in ICU survivors: A comparison between the clinical frailty scale and the Tilburg frailty Indicator and association with 1 year mortality
Authors' conclusion
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.
Study context
- Population
- ICU survivors ≥18 years old with ICU stay >72 h, mixed populationmean age 66 years
- Participants
- 124 survivors
- Exposure
- Clinical Frailty Scale (CFS) vs Tilburg Frailty Indicator (TFI) for frailty assessment
- Outcome
- Agreement of CFS and TFI and their association with mortality
- Follow-up
- 3, 6 months and 1 year
Methodological detailsmulticentre, longitudinal
- Multicentre
- Longitudinal
Main finding
As reported in the abstract
Cohen's K
0.23
P < 0.001
By group
Observational data: associations, not effects.
Further findings
CFS score during follow-up and 1-year mortality
| OR (95% CI) | ||
|---|---|---|
| CFSIndependently associated | 1.43 (1.18–1.73) | |
| 0.512Odds ratio (log scale) |
Original publication
Frailty trajectories in ICU survivors: A comparison between the clinical frailty scale and the Tilburg frailty Indicator and association with 1 year mortality. J Crit Care. Published 31 July 2023. doi:10. 1016/ j. jcrc. 2023. 154398
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