ArticleIntensive care medicine2018
Premorbid functional status as a predictor of 1-year mortality and functional status in intensive care patients aged 80 years or older.
Article in Intensive care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Methods of Assessing Frailty in the Critically Ill: A Systematic Review of the Current Literature.Gerontology · 2022Pooled it
- Frailty at ICU admission: a potential alternative to scoring systems based on clinical observation.Internal and emergency medicine · 2026Article
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- Invasive ventilation and mortality in critically ill nonagenarians: a retrospective cohort study.European journal of medical research · 2026Article
- CRISP: A causal relationships-guided deep learning framework for advanced ICU mortality prediction.BMC medical informatics and decision making · 2025Article
- Prolonged intensive care therapy in nonagenarians admitted to the intensive care unit-clinical characteristics, risk factors and outcomes.Frontiers in medicine · 2025Article
- Intensive care unit cardiac arrest among very elderly critically ill patients - is cardiopulmonary resuscitation justified?Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Critical care beyond organ support: the importance of geriatric rehabilitation.Annals of intensive care · 2024Review
- Predictors of outcomes of patients ≥ 80 years old admitted to intensive care units in Poland - a post-hoc analysis of the VIP2 prospective observational study.Anaesthesiology intensive therapy · 2024Observational
- Association between Red Cell Distribution Width and Outcomes of Nonagenarians Admitted to the Intensive Care Unit-A Retrospective Cohort Study.Diagnostics (Basel, Switzerland) · 2023Article
- Optimizing an existing prediction model for quality of life one-year post-intensive care unit: An exploratory analysis.Acta anaesthesiologica Scandinavica · 2022Article
- The FRAIL-FIT 30 Study - Factors influencing 30-day mortality in frail patients admitted to ICU: A retrospective observational cohort study.Journal of the Intensive Care Society · 2022Article
- Article
- Premorbid Clinical Frailty Score and 30-day mortality among older adults in the emergency department.Journal of the American College of Emergency Physicians open · 2022Article
- Premorbid functional status as an outcome predictor in intensive care patients aged over 85 years.BMC geriatrics · 2022Observational
- Emergency Department Referral for Hospice and Palliative Care Differs among Patients with Different End-of-Life Trajectories: A Retrospective Cohort Study.International journal of environmental research and public health · 2021Article
- Age, Frailty, Resuscitation and Intensive Care: With Reference to COVID-19.Geriatrics (Basel, Switzerland) · 2021Article
- Article
- Determinants of hospital and one-year mortality among older patients admitted to intensive care units: results from the multicentric SENIOREA cohort.Annals of intensive care · 2021Article
- Physical, Mental, and Cognitive Health Status of ICU Survivors Before ICU Admission: A Cohort Study.Critical care medicine · 2020Article
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Funding
Abstract
purposeWe assessed the association between the premorbid functional status (PFS) and 1-year mortality and functional status of very old intensive care patients.
methodsUsing a nationwide quality registry, we retrieved data on patients treated in Finnish intensive care units (ICUs) during the period May 2012‒April 2013. Of 16,389 patients, 1827 (11.1%) were very old (aged 80 years or older). We defined a person with good functional status as someone independent in activities of daily living (ADL) and able to climb stairs without assistance; a person with poor functional status was defined as needing assistance for ADL or being unable to climb stairs. We adjusted for severity of illness and calculated the impact of PFS.
resultsOverall, hospital mortality was 21.3% and 1-year mortality was 38.2%. For emergency patients (73.5% of all), hospital mortality was 28% and 1-year mortality was 48%. The functional status at 1 year was comparable to the PFS in 78% of the survivors. PFS was poor for 43.3% of the patients. A poor PFS predicted an increased risk of in-hospital death, adjusted odds ratio (OR) 1.50 (95% confidence interval, 1.07-2.10), and of 1-year mortality, OR 2.18 (1.67-2.85). PFS data significantly improved the prediction of 1-year mortality.
conclusionsOf very old ICU patients, 62% were alive 1 year after ICU admission and 78% of the survivors had a functional status comparable to the premorbid situation. A poor PFS doubled the odds of death within a year. Knowledge of PFS improved the prediction of 1-year mortality.
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