ArticleIntensive care medicine2017
The effects of performance status one week before hospital admission on the outcomes of critically ill patients.
Article in Intensive care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Temporal trends and prognostic factors in critically ill adult patients with acute leukemia: an individual participant data meta-analysis.Intensive care medicine · 2026Pooled it
- Survival and quality-adjusted life years in critically ill cancer patients: analysis on the fifth day of intensive care unit stay.Critical care science · 2026Article
- Benchmarking and efficiency assessment in intensive care units: a systematic review protocol.Critical care science · 2026Article
- Proposed intensive care unit triage models lack predictive validity for hospital mortality to deal with catastrophes: insights from a cohort study.Critical care science · 2026Article
- Survival of Patients with Solid Tumours and Sepsis Admitted to Intensive Care in a Tertiary Oncology Centre: A Retrospective Analysis.Journal of intensive care medicine · 2025Article
- Characterisation and Outcomes of Patients with Solid Organ Malignancies Admitted to the Intensive Care Unit: Mortality and Impact on Functional Status and Oncological Treatment.Diagnostics (Basel, Switzerland) · 2024Article
- Unmasking the hidden aftermath: postintensive care unit sequelae, discharge preparedness, and long-term follow-up.Critical care science · 2024Review
- Update on the Epimed Monitor Adult ICU Database: 15 years of its use in national registries, quality improvement initiatives and clinical research.Critical care science · 2024Review
- Impact of sepsis on Eastern Cooperative Oncology Group performance status among fully ambulatory patients: a prospective nationwide multicenter cohort.Journal of thoracic disease · 2023Article
- Functional Status Changes in Patients Receiving Palliative Care Consult During COVID-19 Pandemic.Journal of pain and symptom management · 2023Article
- Association of appropriateness for ICU admission with resource use, organ support and long-term survival in critically ill cancer patients.Internal and emergency medicine · 2023Article
- High-value care for critically ill oncohematological patients: what do we know thus far?Critical care science · 2023Review
- Article
- Comparing the Clinical Frailty Scale and an International Classification of Diseases-10 Modified Frailty Index in Predicting Long-Term Survival in Critically Ill Patients.Critical care explorations · 2022Article
- Performance status: A key factor in predicting mortality in the first wave of COVID-19 in South-East Scotland.The journal of the Royal College of Physicians of Edinburgh · 2022Article
- The use of ICU resources in CAR-T cell recipients: a hospital-wide study.Annals of intensive care · 2022Article
- Defining ICD-10 surrogate variables to estimate the modified frailty index: a Delphi-based approach.BMC geriatrics · 2022Article
- Quantifying the burden of the post-ICU syndrome in South Africa: A scoping review of evidence from the public health sector.The Southern African journal of critical care : the official journal of the Critical Care Society · 2022Article
- Cardiogenic shock among cancer patients.Frontiers in cardiovascular medicine · 2022Review
- Patterns of ICU admissions and outcomes in patients with solid malignancies over the revolution of cancer treatment.Annals of intensive care · 2021Article
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20 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo assess the impact of performance status (PS) impairment 1 week before hospital admission on the outcomes in patients admitted to intensive care units (ICU).
methodsRetrospective cohort study in 59,693 patients (medical admissions, 67 %) admitted to 78 ICUs during 2013. We classified PS impairment according to the Eastern Cooperative Oncology Group (ECOG) scale in absent/minor (PS = 0-1), moderate (PS = 2) or severe (PS = 3-4). We used univariate and multivariate logistic regression analyses to investigate the association between PS impairment and hospital mortality.
resultsPS impairment was moderate in 17.3 % and severe in 6.9 % of patients. The hospital mortality was 14.4 %. Overall, the worse the PS, the higher the ICU and hospital mortality and length of stay. In addition, patients with worse PS were less frequently discharged home. PS impairment was associated with worse outcomes in all SAPS 3, Charlson Comorbidity Index and age quartiles as well as according to the admission type. Adjusting for other relevant clinical characteristics, PS impairment was associated with higher hospital mortality (odds-ratio (OR) = 1.96 (95 % CI 1.63-2.35), for moderate and OR = 4.22 (3.32-5.35), for severe impairment). The effects of PS on the outcome were particularly relevant in the medium range of severity-of-illness. These results were consistent in the subgroup analyses. However, adding PS impairment to the SAPS 3 score improved only slightly its discriminative capability.
conclusionPS impairment was associated with worse outcomes independently of other markers of chronic health status, particularly for patients in the medium range of severity of illness.
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