ICU sedation, delirium & recovery

Impact of pre-admission functional status on intensive care patient outcomes: a systematic review and meta-analysis

Br J AnaesthPublished Systematic review and meta-analysis of observational studies

Authors' conclusion

Pre-admission frailty and functional dependency were associated with higher mortality after ICU admission.

Study context

Population
Acutely admitted adult ICU patients with reported pre-admission functional status55 observational studies
Comparison
Non-frail vs frail and independent vs dependent pre-admission functional status
Outcome
All-cause mortality
Follow-up
Variable (ICU to 1 yr)
Methodological detailsGRADE certainty assessment, duplicate screening and data extraction
  • GRADE certainty assessment
  • Duplicate screening and data extraction

Pooled result

As reported in the abstract

Relative risk (95% CI)P value
Non-frail vs Frail
0.62(0.58–0.67)
P < 0.01
Independent vs Dependent
0.47(0.40–0.54)
P < 0.01

Further pooled results

Overall mortality · variable follow-up (ICU to 1 yr)

Participants deceased
26.7%

Prevalence of frailty and functional dependency

Frailty prevalence range
3.6% to 76.8%
Functional dependency range
10.6% to 68.7%

Exploratory outcomes (subgroup analysis)

No statistically significant association

Original publication

Impact of pre-admission functional status on intensive care patient outcomes: a systematic review and meta-analysis. Br J Anaesth. Published 28 August 2026. doi:10.1016/j.bja.2026.07.026

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