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Critical Care
Published in: Critical Care 1/2019

Open Access 01-12-2019 | Care | Letter

The hospital frailty risk score is of limited value in intensive care unit patients

Authors: Raphael Romano Bruno, Bernhard Wernly, Hans Flaatten, Fabian Schölzel, Malte Kelm, Christian Jung

Published in: Critical Care | Issue 1/2019

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Excerpt

The identification of patients with frailty is of utmost importance, in particular during intensive care treatment of very old intensive care patients (VOPs). It is quite obvious that tools for this triage process should differ from younger patients. Frailty—not necessarily age—is associated with a negative impact on outcome, especially in critically ill patients [1]. This problem is of great importance as VOPs are one of the fastest growing subgroups in intensive care medicine. We expect an increase in the proportion of the world population older than 60 years from 12% in 2013 to 21% in 2050 [2]. …
Literature
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So RKL, Bannard-Smith J, Subbe CP, Jones DA, van Rosmalen J, Lighthall GK, Investigators MS. The association of clinical frailty with outcomes of patients reviewed by rapid response teams: an international prospective observational cohort study. Crit Care. 2018;22(1):227.
2.
Leblanc G, Boumendil A, Guidet B. Ten things to know about critically ill elderly patients. Intensive Care Med. 2017;43(2):217–9.CrossRef
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Gilbert T, Neuburger J, Kraindler J, Keeble E, Smith P, Ariti C, Arora S, Street A, Parker S, Roberts HC, et al. Development and validation of a hospital frailty risk score focusing on older people in acute care settings using electronic hospital records: an observational study. Lancet. 2018;391(10132):1775–82.CrossRef
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Masyuk M, Wernly B, Lichtenauer M, Franz M, Kabisch B, Muessig JM, Zimmermann G, Lauten A, Schulze PC, Hoppe UC, et al. Prognostic relevance of serum lactate kinetics in critically ill patients. Intensive Care Med. 2019;45(1):55–61.CrossRef
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Eckart A, Hauser SI, Haubitz S, Struja T, Kutz A, Koch D, Neeser O, Meier MA, Mueller B, Schuetz P. Validation of the hospital frailty risk score in a tertiary care hospital in Switzerland: results of a prospective, observational study. BMJ Open. 2019;9(1):e026923.CrossRef
Metadata
Title
The hospital frailty risk score is of limited value in intensive care unit patients
Authors
Raphael Romano Bruno
Bernhard Wernly
Hans Flaatten
Fabian Schölzel
Malte Kelm
Christian Jung
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Care
Published in
Critical Care / Issue 1/2019
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-019-2520-8

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