학술논문
The association of clinical frailty with outcomes of patients reviewed by rapid response teams: an international prospective observational cohort study
Document Type
article
Author
Source
Critical Care, Vol 22, Iss 1, Pp 1-9 (2018)
Subject
Language
English
ISSN
1364-8535
Abstract
Abstract Background Frailty is a state of vulnerability to poor resolution of homeostasis after a stressor event and is strongly associated with adverse outcomes. Therefore, the assessment of frailty may be an essential part of evaluation in any healthcare encounter that might result in an escalation of care. The purpose of the study was to assess the frequency and association of frailty with clinical outcomes in patients subject to rapid response team (RRT) review. Methods In this multi-national prospective observational cohort study, centres with existing RRTs collected data over a 7-day period, with follow up of all patients at 24 h following their RRT call and at hospital discharge or 30 days following the event trigger (whichever came sooner). Investigators also collected data on the triggers and interventions provided and a bedside assessment on the level of patients’ frailty using a clinical frailty scale. Results Amongst 1133 patients, 40% were screened as frail, which was associated with older age (p