Perioperative medicine & outcomes

Prevalence of frailty and association with patient centered outcomes: A prospective registry-embedded cohort study from India

J Crit CarePublished Prospective registry-embedded cohort study

Main finding · ICU mortalityResult — go to the resultAdjusted odds ratio 2.04 95% CI 1.25,3.33

Authors' conclusion

Frailty is common among critically ill patients in India and is associated with worse outcomes.

Study context

Population
Adult ICU patients in India anticipated to stay at least 48 h
Participants
838 patients · 7 intensive care units (ICUs)
Exposure
Frailty vs no frailty
Outcome
ICU mortality
Methodological detailsmulticentre (7 ICUs)
  • Multicentre (7 ICUs)

Main finding

As reported in the abstract

Adjusted odds ratio

2.04

95% CI 1.25,3.33

Frail vs Not frail
aOR 2.04 (95% CI 1.25,3.33)

Observational data: associations, not effects.

Secondary outcomes

OutcomeEstimate
Hospital mortalityFrail vs Not frailaOR 2.36 (95% CI 1.45,3.84)
Stage 2/3 AKIFrail vs Not frailunadjusted OR 2.35 (95% CI 1.60–3.43)
Receipt of NIVFrail vs Not frailunadjusted OR 2.68 (95% CI 1.77–4.03)
Receipt of vasopressorsFrail vs Not frailunadjusted OR 1.47 (95% CI 1.04–2.07)
Receipt of kidney replacement therapyFrail vs Not frailunadjusted OR 3.15 (95% CI 1.90–5.17)

Prevalence of frailty

Prevalence of frailty
19.8%

Risk factors for frailty

Charlson comorbidity index, OR
1.73 (95% CI 1.39,2.15)
SGA mild/moderate malnourishment, OR
1.90 (95% CI 1.29, 2.80)
SGA severe malnourishment, OR
4.76 (95% CI 2.10,10.77)

Original publication

Prevalence of frailty and association with patient centered outcomes: A prospective registry-embedded cohort study from India. J Crit Care. Published 21 December 2023. doi:10.1016/j.jcrc.2023.154509

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