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01-08-2020 | COVID-19 | Letter

Frailty index predicts poor outcome in COVID-19 patients

Authors: Giuseppe Bellelli, Paola Rebora, Maria Grazia Valsecchi, Paolo Bonfanti, Giuseppe Citerio, COVID-19 Monza Team members

Published in: Intensive Care Medicine | Issue 8/2020

Excerpt

Frailty is a condition of increased vulnerability to endogenous and exogenous stressors, resulting from the interaction of progressive age-related decline in physiologic systems with chronic diseases, leading to decreased functional reserve capacities [1]. The effect of frailty on patient’s clinical outcomes has been examined in several settings of care, including intensive care units (ICU) and acute hospital wards [1, 2], showing to be a reliable predictor of clinical and health care related outcomes. Based on these and other evidences, some scientific societies (https://www.nice.org.uk/guidance/ng159/resources/critical-care-admission-algorithm-pdf-8708948893; https://www.brc-rea.be/wp-content/uploads/2020/03/Ethical-decision-making-in-emergencies_COVID19_22032020_final.pdf) are recommending to assess frailty in patients with coronavirus disease 19 (COVID-19) infection to guide their triage. However, not all international scientific associations have similar positions (https://smw.ch/article/doi/smw.2020.20229; http://www.siaarti.it/SiteAssets/News/COVID19%20-%20documenti%20SIAARTI/SIAARTI%20-%20Covid19%20-%20Raccomandazioni%20di%20etica%20clinica.pdf). …

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Title: Frailty index predicts poor outcome in COVID-19 patients
Authors: Giuseppe Bellelli
Paola Rebora
Maria Grazia Valsecchi
Paolo Bonfanti
Giuseppe Citerio
COVID-19 Monza Team members
Publication date: 01-08-2020
Publisher: Springer Berlin Heidelberg
Keyword: COVID-19
Published in: Intensive Care Medicine / Issue 8/2020
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-020-06087-2

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