Changes in frailty among ICU survivors and associated factors: Results of a one-year prospective cohort study using the Dutch Clinical Frailty Scale

Geense, Wytske; Zegers, Marieke; Dieperink, Peter; Vermeulen, Hester; Hoeven, Johannes van der; Boogaard, Mark van den

doi:10.1016/j.jcrc.2019.10.016

Cited by 32 publications

(31 citation statements)

References 47 publications

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“…The participants reported high scores for ADL and IADL indicating the highest level of independency. This is dissimilar to other studies that have found a decline in ADL and IADL post‐ICU, both short‐ and long‐term 30,31 . It is interesting that the physical functional status was overall good, especially when we consider that 26% have cognitive impairments and 20% are frail at 6 months.…”

Section: Discussioncontrasting

confidence: 94%

Long‐term cognitive and functional status in Danish ICU patients with COVID‐19

Weihe

Mortensen

Haase

et al. 2022

Acta Anaesthesiol Scand

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Background ICU admission due to COVID‐19 may result in cognitive and physical impairment. We investigated the long‐term cognitive and physical status of Danish ICU patients with COVID‐19. Methods We included all patients with COVID‐19 admitted to Danish ICUs between March 10 and May 19, 2020. Patients were the contacted prospectively at 6 and 12 months for follow‐up. Our primary outcomes were cognitive function and frailty at 6 and 12 months after ICU admission, estimated by the Mini Montreal Cognitive Assessment, and the Clinical Frailty Scale. Secondary outcomes were 6‐ and 12‐month mortality, health‐related quality of life (HRQoL) assessed by EQ‐5D‐5L, functional status (Barthel activities of daily living and Lawton–Brody instrumental activities of daily living), and fatigue (Fatigue Assessment Scale). The study had no information on pre‐ICU admission status for the participants. Results A total of 326 patients were included. The 6‐ and 12‐month mortality was 37% and 38%, respectively. Among the 204 six‐month survivors, 105 (51%) participated in the 6‐month follow‐up; among the 202 twelve‐month survivors, 95 (47%) participated in the 12‐month follow‐up. At 6 months, cognitive scores indicated impairment for 26% (95% confidence interval [CI], 11.4–12.4) and at 12 months for 17% (95% CI, 12.0–12.8) of participants. Frailty was indicated in 20% (95% CI, 3.4–3.9) at 6 months, and for 18% (95% CI, 3.3–3.8) at 12 months. Fatigue was reported by 52% at 6 months, and by 47% at 12 months. For HRQoL, moderate, severe, or extreme health problems were reported by 28% at 6 months, and by 25% at 12 months. Conclusion Long‐term cognitive, functional impairment was found in up to one in four of patients surviving intensive care for COVID‐19. Fatigue was present in nearly half the survivors at both 6 and 12 months. However, pre‐ICU admission status of the patients was unknown.

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Section: Discussioncontrasting

confidence: 94%

Long‐term cognitive and functional status in Danish ICU patients with COVID‐19

Weihe

Mortensen

Haase

et al. 2022

Acta Anaesthesiol Scand

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“…“Frailty” was measured using the Dutch version ( 31 ) of the Clinical Frailty Scale (CFS) ( 32 ), consisting of one item comprising nine pictographs with a description of vulnerability and functional status. The score ranges from 1 “very fit” to 9 “terminally ill,” with higher scores indicating more frailty.…”

Section: Methodsmentioning

confidence: 99%

Physical, Mental, and Cognitive Health Status of ICU Survivors Before ICU Admission: A Cohort Study

Geense¹,

Boogaard²,

Peters

et al. 2020

Critical Care Medicine

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“…3 Naar schatting ervaart 50-70% van de patiënten die één jaar na de IC-behandeling nog in leven is klachten die vallen onder de noemer PICS. 2,4 Middels dit artikel wordt inzicht geboden in de klachten behorende bij PICS. Daarna volgt een beschouwing van wat het effect van PICS kan zijn op het functioneren, de belastbaarheid en daarmee het arbeidsvermogen van patiënten.…”

Section: Impact Van Een Ic-behandeling: Post Intensive Care Syndroomunclassified

Impact van een IC-behandeling: Post Intensive Care Syndroom

Wolters¹,

Schuckman

2021

TBV - Tijdschr Bedrijfs- en Verzekeringsgeneeskd

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Changes in frailty among ICU survivors and associated factors: Results of a one-year prospective cohort study using the Dutch Clinical Frailty Scale

Cited by 32 publications

References 47 publications

Long‐term cognitive and functional status in Danish ICU patients with COVID‐19

Long‐term cognitive and functional status in Danish ICU patients with COVID‐19

Physical, Mental, and Cognitive Health Status of ICU Survivors Before ICU Admission: A Cohort Study

Impact van een IC-behandeling: Post Intensive Care Syndroom

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