This is a prospective analysis of patient registry data of intensive care patients. The aim is to investigate if frailty is a predictor of decline of functional status of critically ill patients during their hospital stay.
Elderly critical-ill patients with a high frailty level are becoming increasingly important in the ICU and the health system. Especially, questions about the course of the individual proceeding, withhold of therapy and level of care are controversial among caretakers, as outcome and functional independence remain still unclear in these patients. This applies particularly in view of the fact that large studies such as VIP1 showed an inverse association of high frailty classes with short-term survival. Our main objective in this study was to focus on functional outcome and independency measured by Barthel Index after ICU stay regarding frailty, the effect of critical care and severity and prognosis of the disease.
Study Type
OBSERVATIONAL
Enrollment
731
Klinikum rechts der Isar, School of Medicine, Technical University of Munich
Munich, Bavaria, Germany
Probability not to deteriorate in functional status during the hospital stay
Analysis of the course of functional status measured by the Barthel Score sub-components transfer and ambulation during the hospital stay. The Scale ranges from 0 (no transfer) to 15 (transfer to chair and back) for transfer and from 0 (no ambulation) to 15 (coming into stand and walk 50m without supervision) for ambulation.
Time frame: a median of 30 days
Change in Functional status before hospital admission to ICU discharge
Analysis of the change of functional status measured by the Barthel Score sub-components transfer and ambulation from before hospital admission to ICU discharge. The Scale ranges from 0 (no transfer) to 15 (transfer to chair and back) for transfer and from 0 (no ambulation) to 15 (coming into stand and walk 50m without supervision) for ambulation.
Time frame: a median of 20 days
Change in Functional status before hospital admission to hospital discharge
Analysis of the change of functional status measured by the Barthel Score sub-components transfer and ambulation from before hospital admission to hospital discharge. The Scale ranges from 0 (no transfer) to 15 (transfer to chair and back) for transfer and from 0 (no ambulation) to 15 (coming into stand and walk 50m without supervision) for ambulation.
Time frame: a median of 30 days
ICU length of stay
Duration of stay on intensive care
Time frame: a median of 11 days
Hospital length of stay
Duration of stay in the hospital
Time frame: a median of 30 days
Rate of discharge disposition to home
Rate of participants being discharged home after the hospital stay.
Time frame: 1 day
ICU mortality
Expired during the intensive care stay
Time frame: a median of 11 days
Hospital mortality
Expired during the hospital stay
Time frame: a median of 22 days
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