Perioperative medicine & outcomes
The impact of frailty and rapid response team activation on patients admitted to the intensive care unit: A case‐control matched, observational, single‐centre cohort study
Authors' conclusion
Frail patients admitted to ICU have a high short-term mortality. An antecedent MET event was associated with increased mortality but did not independently predict short-term survival when adjusting for confounding factors.
Study context
- Population
- Adults (>18 years) admitted to a medical-surgical intensive care unit (ICU)
- Participants
- 2,314 matched admissions
- Comparison
- ICU admission with vs without preceding medical emergency team (MET) review; frail vs non-frail
- Outcome
- 30-day mortality after ICU admission
- Follow-up
- 30 days
Methodological detailssingle-centre, matched, observational
- Single-centre
- Matched
- Observational
Main finding
As reported in the abstract
Mortality
- Mortality in frail patients admitted after MET review
- 33%
- Adjusted mortality HR increase per Clinical Frailty Scale (CFS) point
- 26%
- Adjusted mortality HR increase per APACHE III point
- 3%
Observational data: associations, not effects.
Further findings
- Limitations of medical treatment — Frail
- 30%
- Limitations of medical treatment — Five times higher in frail vs non-frail patients, with or without MET antecedent
- 5
Original publication
The impact of frailty and rapid response team activation on patients admitted to the intensive care unit: A case‐control matched, observational, single‐centre cohort study. Acta Anaesthesiol Scand. Published 4 April 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →