Journal article

Frailty and outcomes from pneumonia in critical illness: a population-based cohort study

Jai N Darvall, Rinaldo Bellomo, Michael Bailey, Eldho Paul, Paul J Young, Kenneth Rockwood, David Pilcher

British Journal of Anaesthesia | ELSEVIER SCI LTD | Published : 2020

Abstract

Background A threshold Clinical Frailty Scale (CFS) of 5 (indicating mild frailty) has been proposed to guide ICU admission for UK patients with coronavirus disease 2019 (COVID-19) pneumonia. However, the impact of frailty on mortality with (non-COVID-19) pneumonia in critical illness is unknown. We examined the triage utility of the CFS in patients with pneumonia requiring ICU. Methods We conducted a retrospective cohort study of adult patients admitted with pneumonia to 170 ICUs in Australia and New Zealand from January 1, 2018 to September 31, 2019. We classified patients as: non-frail (CFS 1–4) frail (CFS 5–8), mild/moderately frail (CFS 5–6),and severe/very severely frail (CFS 7–8). We ..

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