التفاصيل البيبلوغرافية
| العنوان: |
The Prevalence, Risk Factors and Outcomes of Frailty in Elderly Critically Ill Patients. |
| المؤلفون: |
ABDUL AZIZ, NUR KHAIRUNNISA, MD RALIB, AZRINA, MAT NOR, MOHD BASRI, FOONG KIT WENG |
| المصدر: |
Medicine & Health (Universiti Kebangsaan Malaysia); 2021 Supplement, Vol. 16, p40-40, 1p |
| مصطلحات موضوعية: |
FRAIL elderly, CRITICALLY ill, PATIENTS, CONFERENCES & conventions, TREATMENT effectiveness, DISEASE prevalence |
| مصطلحات جغرافية: |
MALAYSIA |
| مستخلص: |
Objective: Frailty is a multidimensional syndrome of loss of physiologic and cognitive reserves resulting in increased vulnerability to adverse outcomes. Despite increasing interest regarding frailty in critically ill patients, no such studies have been conducted in Malaysia. This research sought to determine the prevalence, risk factors, outcomes of frailty in the Intensive Care Units (ICUs) using the Clinical Frailty Scale (CFS) and Modified Frailty Index (MFI), and to assess the applicability of these frailty screening tools in guiding ICU admission of elderly patients. The risk factors include age, sex, ethnicity, marital status, level of education and living arrangement, whereas the outcomes include ICU length of stay (LOS), hospital LOS, Simplified Acute Physiology Score II, source of transfer to ICU, vasoactive therapy, mechanical ventilation, renal replacement therapy, blood transfusion, tracheostomy, surgery, cardiopulmonary resuscitation, limitation of therapy, selfextubation, reintubation, nosocomial infection, and mortality Methods: This is a two centre, prospective observational study conducted in Sultan Ahmad Shah Medical Centre @ IIUM and Hospital Raja Permaisuri Bainun. Inclusion criteria were ICU patients ≥60 years old, and patients admitted >24 hours in ICU. Results: 30 out of 58 (51.7%) of our patients were frail. Modified Frailty Index (MFI) was significantly higher in frail patients determined by the CFS. No significant risk factors and outcomes of frailty were detected. Mechanically ventilated patients were 7.735 times more likely to be frail and patients with nosocomial infection were 6.685 times more likely to be frail compared to patients who were not inflicted with the corresponding outcomes. Conclusion: Around half of the elderly critically ill patients were frail and significant association between the Clinical Frailty Scale (CFS) and MFI was established. Mechanical ventilation and nosocomial infection were significantly associated with frailty. None of the risk factors and outcomes studied were related to frailty. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
