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https://ahro.austin.org.au/austinjspui/handle/1/21704
Full metadata record
DC Field | Value | Language |
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dc.contributor.author | Darvall, Jai N | - |
dc.contributor.author | Bellomo, Rinaldo | - |
dc.contributor.author | Paul, Eldho | - |
dc.contributor.author | Subramaniam, Ashwin | - |
dc.contributor.author | Santamaria, John D | - |
dc.contributor.author | Bagshaw, Sean M | - |
dc.contributor.author | Rai, Sumeet | - |
dc.contributor.author | Hubbard, Ruth E | - |
dc.contributor.author | Pilcher, David | - |
dc.date | 2019-09-05 | - |
dc.date.accessioned | 2019-09-09T00:42:27Z | - |
dc.date.available | 2019-09-09T00:42:27Z | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | Medical Journal of Australia 2019; 211(7): 318-323 | - |
dc.identifier.uri | https://ahro.austin.org.au/austinjspui/handle/1/21704 | - |
dc.description.abstract | To explore associations between frailty (Clinical Frailty Scale score of 5 or more) in very old patients in intensive care units (ICUs) and their clinical outcomes (mortality, discharge destination). Retrospective population cohort analysis of Australian and New Zealand Intensive Care Society (ANZICS) Adult Patient Database data for all patients aged 80 years or more admitted to participating ICUs between 1 January 2017 and 31 December 2018. Primary outcome: in-hospital mortality; secondary outcomes: length of stay (hospital, ICU), re-admission to ICU during the same hospital admission, discharge destination (including new chronic care or nursing home admission). Frailty status data were available for 15 613 of 45 773 patients aged 80 years or more admitted to 178 ICUs (34%); 6203 of these patients (39.7%) were deemed frail. A smaller proportion of frail than non-frail patients were men (47% v 57%), the mean illness severity scores of frail patients were slightly higher than those of non-frail patients, and they were more frequently admitted from the emergency department (28% v 21%) or with sepsis (12% v 7%) or respiratory complications (16% v 12%). In-hospital mortality was higher for frail patients (17.6% v 8.2%; adjusted odds ratio [OR], 1.87 [95% CI, 1.65-2.11]). Median lengths of ICU and hospital stay were slightly longer for frail patients, and they were more frequently discharged to new nursing home or chronic care (4.9% v 2.8%; adjusted OR, 1.61 [95% CI, 1.34-1.95]). Many very old critically ill patients in Australia and New Zealand are frail, and frailty is associated with considerably poorer health outcomes. Routine screening of older ICU patients for frailty could improve outcome prediction and inform intensive care and community health care planning. | - |
dc.language.iso | eng | - |
dc.subject | Aged | - |
dc.subject | Critical care | - |
dc.subject | Health services for the aged | - |
dc.subject | Intensive care | - |
dc.title | Frailty in very old critically ill patients in Australia and New Zealand: a population-based cohort study. | - |
dc.type | Journal Article | - |
dc.identifier.journaltitle | Medical Journal of Australia | - |
dc.identifier.affiliation | Austin Health, Heidelberg, Victoria, Australia | en |
dc.identifier.affiliation | Centre for Outcome and Resource Evaluation, Australian and New Zealand Intensive Care Society, Melbourne, VIC | en |
dc.identifier.affiliation | ANU Medical School, Australian National University, Canberra, ACT | en |
dc.identifier.affiliation | Canberra Hospital, Canberra, ACT | en |
dc.identifier.affiliation | Peninsula Health, Melbourne, VIC | en |
dc.identifier.affiliation | Peninsula Clinical School, Monash University, Melbourne, VIC | en |
dc.identifier.affiliation | Centre for Integrated Critical Care, University of Melbourne, Melbourne, VIC | en |
dc.identifier.affiliation | Royal Melbourne Hospital, Melbourne, VIC | en |
dc.identifier.affiliation | Centre for Integrated Critical Care, University of Melbourne, Melbourne, VIC | en |
dc.identifier.affiliation | The Alfred Hospital, Melbourne, VIC | en |
dc.identifier.affiliation | Monash University, Melbourne, VIC | - |
dc.identifier.affiliation | St Vincent's Hospital Melbourne, Melbourne, VIC | - |
dc.identifier.affiliation | University of Alberta, Edmonton, AB, Canada | - |
dc.identifier.affiliation | Centre for Health Services Research, University of Queensland, Brisbane, QLD | - |
dc.identifier.doi | 10.5694/mja2.50329 | - |
dc.identifier.orcid | 0000-0001-7106-5141 | - |
dc.identifier.orcid | 0000-0002-8939-7985 | en |
dc.identifier.orcid | 0000-0002-1650-8939 | en |
dc.identifier.pubmedid | 31489652 | - |
dc.type.austin | Journal Article | - |
local.name.researcher | Bellomo, Rinaldo | |
item.fulltext | No Fulltext | - |
item.grantfulltext | none | - |
item.languageiso639-1 | en | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.cerifentitytype | Publications | - |
item.openairetype | Journal Article | - |
crisitem.author.dept | Intensive Care | - |
crisitem.author.dept | Data Analytics Research and Evaluation (DARE) Centre | - |
Appears in Collections: | Journal articles |
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