ICU sedation, delirium & recovery

Long-stay intensive care unit (ICU) patients with frailty: mortality and recovery outcomes at 6 months

Ann Intensive CarePublished Retrospective cohort study

Authors' conclusion

Frailty is associated with increased mortality and poorer physical health-related QoL in long-stay ICU patients at 6 months.

Study context

Population
Patients hospitalized ≥ 7 days in the ICU, May 2018–May 2021
Participants
531 patients
Exposure
Frail vs pre-frail vs non-frail at ICU admission
  • Frailn = 178
  • Pre-frailn = 200
  • Non-frailn = 153reference
Outcome
Mortality
Follow-up
Up to 6 months

Main finding

As reported in the abstract

Each group vs non-frailAdjusted hazard ratio (95% CI)
Pre-frail
1.7(0.9–2.9)
Frail
2.9(1.7–4.9)

Observational data: associations, not effects.

Further findings

Withdrawing or withholding of care

Did not differ significantly between the groups

Health-related quality of life (QoL) · up to 6 months

Clinical Frailty Scale (CFS) ≥ 5 vs CFS 1-2 associated with poorer physical health-related QoL, not poorer mental health-related QoL
  • 192 seen at follow-up consultation
  • Multivariate linear regressions

Original publication

Long-stay ICU patients with frailty: mortality and recovery outcomes at 6 months. Ann Intensive Care. Published 24 February 2024. doi:10.1186/s13613-024-01261-x

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