García MC, Muralla SLI, Cerón DUW

Language: Spanish
References: 8
Page: 547-551
PDF size: 207.32 Kb.

ABSTRACT

Introduction: frailty prior to admission to critical care units, measured with the clinical frailty scale (CFS), is associated with mortality. Objectives: to determine the association between the CFS score prior to admission to the Intensive Care Unit (ICU) and mortality at hospital discharge in critically ill patients in a private tertiary hospital. Material and methods: an observational, longitudinal, prospective study was conducted. It included all patients admitted to the ICU from March 1 to June 30, 2023. Results: 116 patients with a mean age of 64.2 ± 17.8 years, 45.7% were women. Overall mortality was 18.1%, and it was higher in patients with CFS score ≥ 4 (p = 0.003). The univariate analysis found that the patients who died had as associated factors the SAPS 3 score (p < 0.001), SOFA (p < 0.001), hours of mechanical ventilation (p = 0.004) and CFS score (p = 0.003). In the multivariate analysis, through logistic regression, it was found that the days of hospital stay (p = 0.001), the SOFA score (p < 0.001), the hours of mechanical ventilation (p = 0.015) and the CFS score (p = 0.003) were variables that were independently associated with mortality. Conclusions: CFS is a variable that is independently associated with mortality at hospital discharge and can be used for its convenience to estimate the impact of the condition prior to admission to the ICU on the prognosis of critically ill patients.

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