Pulse Brain · Growing Health Evidence Index
Tier 3 — Observational / field trialPeer-reviewed

The impact of frailty on ICU and 30-day mortality and the level of care in very elderly patients (≥ 80 years)

on behalf of the VIP1 study group, Hans Flaatten, Dylan W. de Lange, Alessandro Morandi, Finn H. Andersen, Antonio Artigas, Guido Bertolini, Ariane Boumendil, Maurizio Cecconi, Steffen Christensen, Loredana Faraldi, Jesper Fjølner, Christian Jung, Brian Marsh, Rui P. Moreno, Sandra Oeyen, Christina Agwald Öhman, Bernardo Bollen Pinto, Ivo W. Soliman, Wojciech Szczeklik, Andreas Valentin, Ximena Watson, Tilemachos Zaferidis, Bertrand Guidet

Intensive Care Medicine · 2017

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Summary

This multicentre European cohort study (VIP1) investigated the prognostic significance of frailty in very elderly intensive care patients. The research appears to establish frailty as a relevant clinical predictor of mortality and care intensity in octogenarian and older ICU populations, as suggested by the study design and title. The findings may inform risk stratification and care planning discussions for this demographic.

Regional applicability

The study's findings are potentially applicable to UK intensive care practice, where assessment of frailty in elderly patients increasingly informs treatment decisions and resource allocation. However, applicability depends on whether UK ICU populations and care protocols align with those of the European centres involved.

Key measures

ICU mortality; 30-day mortality; level of care (as suggested by title); frailty status assessment in patients ≥80 years

Outcomes reported

The study examined the association between frailty status and intensive care unit mortality, 30-day mortality, and level of care provided in patients aged 80 years and older. Frailty was assessed as a predictor of clinical outcomes and care intensity in this vulnerable population.

Theme
Nutrition & health
Subject
Dietary patterns & chronic disease
Study type
Research
Study design
Observational cohort
Source type
Peer-reviewed study
Status
Published
Geography
Europe
System type
Human clinical
DOI
10.1007/s00134-017-4940-8
Catalogue ID
SNmojg02dr-gdsc08

Topic tags

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