Accès ouvert déclaré
2021
article
Relationship between the Clinical Frailty Scale and short-term mortality in patients ≥ 80 years old acutely admitted to the ICU: a prospective cohort study
Jakub Fronczek, Kamil Polok, Dylan W. de Lange, Christian Jung, Michael Beil, Andrew Rhodes, Jesper Fjølner, Jacek Górka, Finn H. Andersen, Antonio Artigas, Maurizio Cecconi, Steffen Christensen, Michael Joannidis, Susannah Leaver, Brian Marsh, Alessandro Morandi, Rui P. Moreno, Sandra Oeyen, Christina Agvald‐Öhman, Bernardo Bollen Pinto, Joerg C. Schefold, Andreas Valentin, Sten Walther, Ximena Watson, Tilemachos Zafeiridis, Sigal Sviri, Peter Vernon van Heerden, Hans Flaatten, Bertrand Guidet, Wojciech Szczeklik, René Schmutz, Fabian Wimmer, Nikolaas De Neve, Walter Swinnen, Paul Abraham, Leila Hergafi, Ewelina Biskup, Pinilla Roman Hervey Piza, I. Taliadoros, Nilanjan Dey, Christoffer Sølling, Bodil Steen Rasmussen, Xavier Forceville, Hervé Mentec, P. Michel, Philippe Mateu, Jérémy Bourenne, Nathalie Marin, Max Guillot, Nadia Aïssaoui, Cyril Goulenok, Nathalie Thieulot-Rolin, Jonathan Messika, Lionel Lamhaut, Cyril Charron, Alexander Lauten, Anne Lena Sacher, Thorsten Brenner, Marcus Franz, Frank Bloos, Henning Ebelt, Stefan J. Schaller, Kristina Fuest, Thorben Dieck, Stephan Steiner, Tobias Graf, Amir M. Nia, Chul Won Jung, Rolf Alexander Jánosi, Patrick Meybohm, Philipp Simon, Stefan Utzolino, Tim Rahmel, Zoi Aidoni, Stavros Aloizos, P. Tasioudis, Klairi Lampiri, V. Zisopoulou, Ifigenia Ravani, E. Pagaki, Anna Antoniou, Θεόδωρος Κατσούλας, A. Kounougeri, Giorgos Marinakis, Fotios Tsimpoukas, Αikaterini Spyropoulou, Paris Zygoulis, Aikaterini Kyparissi, Mrigank S. Gupta, Mohan Gurjar, imatinibem mají, Ian Hayes, Yvelynne P. Kelly, Andrew Westbrook, G Fitzpatrick, Dheeraj Kumar Maheshwari, Giampiero Negri, Savino Spadaro, Giuseppe Nattino, M. Pedeferri, Annalisa Boscolo, Silvia Rossi, Giuseppe Calicchio, L. Cubattoli, Gabriella Di Lascio, Mario Barbagallo, F. Berruto, Daniela Codazzi, Andrea Bottazzi, P Fumagalli, G. Negro, Gabriele Lupi, Francesco Savelli, G. A. Vulcano, Roberto Fumagalli, Andrea Marudi, Ugo Lefons, Rosalba Lembo, M. Babini, A. Paggioro, Vieri Parrini, M. Zaccaria, Stefano Clementi, C. Gigliuto, Francesca Facondini, S Pastorini, Sara Munaron, Italo Calamai, A. Bocchi, Andrea Adorni, Maria Grazia Bocci, Andrea Cortegiani, Tiziana Casalicchio, S. Mellea, Emauele Graziani, Massimo Barattini, Elisabetta Brizio, Marianna Rossi, Michael Hahn, N. Kemmerer, Hans Frank Strietzel, Knut Dybwik, T. Legernaes, Pål Klepstad, Elinor Jeanette Olaussen, Keith M. Olsen, O. M. Brresen, G. Bjorsvik, S. Maini, Lutz Fehrle, Paweł Krawczyk, Mirosław Ziętkiewicz, Łukasz R. Nowak, Katarzyna Kotfis, Ryszard Gajdosz, Jowita Biernawska, Romuald Bohatyrewicz, Ryszard Gawda, Paweł Grudzień, Natalia Popek, Waldemar Cyrankiewicz, Katarzyna Wawrzyniak, Marek Wnuk, Dorota Studzińska, Maciej Żukowski, Szymon Bernas, Mariusz Piechota, Ilona Nowak, Marta Serwa, Waldemar Machała, Jan Stefaniak, Maria Wujtewicz, Paul K. Maciejewski, Małgorzata Szymkowiak, Barbara Adamik, Nuno Catorze, Miguel Castelo-Branco, Nélson Barros, Iliene Carolina Barros, Andriy Krystopchuk, Teresa Honrado, Cardoso de Sousa, F. García Muñoz, M. Rebêlo, Romilton Victal Gomes, José Pedro L. Nunes, Celeste Dias, Ângela Fernandes, Cristina Petrișor, Bendelic Constantin, Vladislav Belskiy, B. Boskholov, Gerardo Aguilar, G. Masdeu, Marián Irazábal Jaimes, María Bodi, Jason A. Mendoza, Sonia López‐Cuenca, Mauricio Guzmán, Jesús Rico-Feijoó, Mercedes Ibarz, Rafael Kawati, Joakim Sivik, Jessica Nauska, Daniel Smole, Fredric Parenmark, J. Lyrén, Klaus Juergen Rockstroh, Sara Rydén, Martin Spångfors, Morten Strinnholm, Lina De Geer, P.-J. Nordlund, S. Pålsson, Harald Zetterquist, Annette Nilsson, Klara Thiringer, Mårten Jungner, Björn P. Bark, B. Nordling, Helena Sköld, Caroline Brorsson, Sofia Persson, Annika Bergström, Johan Berkius, Jessica Holmström, I. van Dijk, L. E. M. van Lelyveld-Haas, Tim C. Jansen, Fleur G. C. A. Nooteboom, Peter H. J. van der Voort, Willem Dieperink, M. C. de Waard, Annemieke Smet, Laura Bormans, Tom Dormans, Ged Dempsey, Sunny Mathew, Ashok Raj, Irina Grecu, Tom Lawton, Ross A. Clark, Mihai Popescu, Nick Spittle, Maria Faulkner, Amanda Cowton, E. Elloway, Srikanth Chukkambotla, R. Kumar, Nawaf Al-Subaie, L. Kent, Tamm Ti, Istvan Kajtor, Kathleen Burns, Richard Pugh, Marlies Ostermann, Elisa Kam, H. Bowyer, Nina Smith, M. Templeton, Karolien Goffin, Rajat Kapoor, Shondipon Laha, Phil Chilton, Waqas Khaliq, A. Crayford, S Coetzee, M. J. Tait, William Thornley Stoker, María-José Giménez, A. L. Pope, Julie Camsooksai, David Pogson, Kathleen L. Quigley, Jay Ritzema, Anil Hormis, C. Boulanger, M. Balasubramaniam, Luke Vamplew, Karen Burt, David Martin, Jasmine Craig, John R. Prowle, N A Doyle, James D Shelton, Christopher G. Scott, Phil Donnison, Sarah Shelton, Christian Frey, C.G. Ryan, Dominic W. K. Spray, V Barnes, Karen I. Barnes, Paul F. Ridgway, Rituparna Saha, T Justin Clark, James H. Wood, Christopher Bassford, J Lewandowski, Xiaoming Zhao, Neil Richardson, Andrew Burtenshaw, Christopher Stevenson, Donna M. Wilcock, Yuriy Nalapko, Raimund Helbok, Joke Nollet, Marijana Mikačić, Anders Bastiansen, Andreas Husted, Bård E S Dahle, Carl H. Cramer, Dorthe Ørsnes, Jakob Edelberg Thomsen, Jonas Juul Pedersen, Mathilde Hummelmose Enevoldsen, Thomas Elkmann, A Kubisz-Pudelko, Amanda Collins, CL Hart, Georgina Randell, Helder Filipe, Ingeborg Welters, Jenny R. Evans, Janet M. Lord, Jennifer Jones, Jonathan Ball, J. B. North, Kiran Salaunkey, Laura Ortiz-Ruiz de Gordoa, L. Bell, Marcela P. Vizcaychipi, M Mupudzi, Megan Lea-Hagerty, Michael Z. Spivey, Nicholas Love, Nicola White, P Morgan, Phil Wakefield, Rachel Savine, Reni Jacob, Richard Innes, Susannah Rose, Trupti Mane, Vonganyi Ogbeide, Yolanda Baird, Antoine Romen, Arnaud Galbois, Christophe Vinsonneau, Didier Thévenin, Emmanuel Guérot, Guillaume Savary, J.L. Chagnon, Jean‐Philippe Rigaud, Jean‐Pierre Quenot, Jeremy Castaneray, Johan Rosman, Julien Maizel, Kelly Tiercelet, Maud Mousset Hovaere, M. Messika, Michel Djibré, Nathalie Rolin, Philippe Burtin, Pierre Garçon, Saad Nseir, Xavier Valette, Michael Horacek, Raphael Romano Bruno, Sebastian Allgäuer, Simon Dubler, Stefan Schering, Anastasia Koutsikou, A. Vakalos, Bogdan Raitsiou, Elli Niki Flioni, Evangelia Neou, Γεώργιος Παπαθανάκος, Ioannis Koutsodimitropoulos, Kounougeri Aikaterini, Νikoletta Ρovina, Stella Kourelea, V Zidianakis, Vryza Konstantinia, Catherine Y. Read, Ignacio Martín‐Loeches, Andrea Cracchiolo, Aristide Morigi, Stefania Brusa, Ahmed Elhadi, Ahmed Tarek, Ala Khaled, Hazem A. Sayed Ahmed, Wesal Ali Belkhair, Alexander D. Cornet, D. Gommers, Eva van Boven, Jasper J. Haringman, Lenneke Haas, L. van den Berg, Oscar Hoiting, Pauline de Jager, RT Gerritsen, Alena Breidablik, Anita Slapgard, Anne-Karin Rime, Bente Jannestad, Britt Sjøbøe, Elizabeth M Rice, J. Jensen, Jørund Langørgen, Kirsti Tøien, Kristian Strand, Aleksandra Biernacka, Anna Kluzik, Bartosz Kudliński, Hubert Hymczak, Joanna Sołek-Pastuszka, Joanna Zorska, Łukasz J. Krzych, Małgorzata Lipińska-Gediga, Marek Pietruszko, Natalia Kozera, Paweł Sendur, Paweł Zatorski, Piotr Gałkin, Urszula Kościuczuk, Wojciech Gola, Amanda Fernandes Pinto, A. R. Santos, Isabel Amorim Ferreira, Jacobo Bacariza Blanco, José Tarcísio Giffoni de Carvalho, José Miguel Maia, Nuno R. Candeias, Africa Lores, Catia Cillóniz, David Pérez-Torres, Emilio Maseda, Estefanía Prol‐Silva, Gaspar Eixarch, Gemma Gomà, Gonzalo Navarro Velasco, Mercedes Ibarz Villamayor, Noemí Fernández, Patricia Jimeno Cubero, Teresa Tomasa, A. SJÖQVIST, Fredrik Schiöler, Helena Westberg, Filippo Boroli, P. Eckert, İsmail Yıldız, Ihor Yovenko
55Citations signalées, ce qui n’est pas une note de qualité
33Institutions déclarées
17Pays d’affiliation déclarés
Rattachement africain : pl, nl, de, il, gb, dk, no, es, it, at, ie, pt, be, se, ch, gr, fr.
Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: The Clinical Frailty Scale (CFS) is frequently used to measure frailty in critically ill adults. There is wide variation in the approach to analysing the relationship between the CFS score and mortality after admission to the ICU. This study aimed to evaluate the influence of modelling approach on the association between the CFS score and short-term mortality and quantify the prognostic value of frailty in this context. METHODS: We analysed data from two multicentre prospective cohort studies which enrolled intensive care unit patients ≥ 80 years old in 26 countries. The primary outcome was mortality within 30-days from admission to the ICU. Logistic regression models for both ICU and 30-day mortality included the CFS score as either a categorical, continuous or dichotomous variable and were adjusted for patient's age, sex, reason for admission to the ICU, and admission Sequential Organ Failure Assessment score. RESULTS: The median age in the sample of 7487 consecutive patients was 84 years (IQR 81-87). The highest fraction of new prognostic information from frailty in the context of 30-day mortality was observed when the CFS score was treated as either a categorical variable using all original levels of frailty or a nonlinear continuous variable and was equal to 9% using these modelling approaches (p < 0.001). The relationship between the CFS score and mortality was nonlinear (p < 0.01). CONCLUSION: Knowledge about a patient's frailty status adds a substantial amount of new prognostic information at the moment of admission to the ICU. Arbitrary simplification of the CFS score into fewer groups than originally intended leads to a loss of information and should be avoided. Trial registration NCT03134807 (VIP1), NCT03370692 (VIP2).
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Relationship between the Clinical Frailty Scale and short-term mortality in patients ≥ 80 years old acutely admitted to the ICU: a prospective cohort study
- Date Crossref
- 01/07/2021
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Les institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Les sujets associés
Frailty in Older AdultsSepsis Diagnosis and TreatmentIntensive Care Unit Cognitive Disorders