Evidence map›Paper›PMID 39234285›Full record

ArticleCanadian geriatrics journal : CGJ2024

COVID-19-Associated Outcomes of Critical Illness in Patients with Frailty: a Cohort Study.

Carmel L Montgomery, Andrea Davenport, Lazar Milovanovic, Sean M Bagshaw, Darryl B Rolfson, Oleksa G Rewa

Abstract read
In one paragraph

Article in Canadian geriatrics journal : CGJ, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Carmel L MontgomeryFaculty of Nursing, College of Health Sciences, University of Alberta, Edmonton.
Andrea DavenportDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, College of Health Sciences, University of Alberta and Alberta Health Services, Edmonton.
Lazar MilovanovicDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, College of Health Sciences, University of Alberta and Alberta Health Services, Edmonton.
Sean M BagshawDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, College of Health Sciences, University of Alberta and Alberta Health Services, Edmonton.
Darryl B RolfsonDivision of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, College of Health Sciences, University of Alberta, Edmonton, AB, Canada.
Oleksa G RewaDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, College of Health Sciences, University of Alberta and Alberta Health Services, Edmonton.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pre-admission frailty has been associated with higher hospital mortality in patients with critical illness. We aimed to measure the prevalence of frailty and its associated outcomes in patients with COVID-19 critical illness. Methods: A historical cohort study of all adults admitted to ICU with a pneumonia diagnosis in Alberta, Canada between May 1, 2020, and October 31, 2020. At ICU admission patients were routinely assessed for frailty using the Clinical Frailty Scale (CFS). Frailty was defined as a CFS score ≥5. Primary outcomes were pre-admission frailty prevalence and hospital mortality. Results: The cohort (n=521) prevalence of frailty was 34.2% (n=178), mean (SD) age was 58.8 (14.9) years, APACHE II 22.8 (8.0), and 39.5% (n=206) were female. COVID-19 pneumonia was diagnosed in (19.0%; n=99) admissions; pre-admission frailty was present in 20.2% (n=20) vs. 79.8% (n=79) non-frail ( Conclusion: Pre-admission frailty was present in 20.2% of COVID-19 ICU admissions and was associated with higher risk of hospital mortality. Frailty assessment may yield valuable prognostic information when considering COVID-19 ICU admission; however, further study is needed to identify effect on patient-centred outcomes in this heterogeneous population.

Indexed as

COVID-19frailtyICU survivorshipintensive carepneumonia

Identifiers

PMID39234285
PMCPMC11346629

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.