ArticleDeutsches Arzteblatt international2020
Frailty as a Prognostic Indicator in Intensive Care.
Article in Deutsches Arzteblatt international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- [Frailty in intensive care medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Pooled it
- Impact of frailty on postoperative delirium in ICU patients aged 65 and older: a systematic review.BMJ open · 2026Pooled it
- Transfusion Practice in Elderly Surgical Patients in Germany-A Secondary Data Analysis of over 21 Million Patients over a Decade.Medicina (Kaunas, Lithuania) · 2026Article
- [The geriatric syndrome frailty in the context of readmission to the intensive care unit : Study protocol of a mixed-methods study].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Article
- [Core curriculum of intensive care and emergency medicine in internal medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Review
- Evaluation of the Relationship Between Clinical Frailty Scale (CFS) and Mortality in Geriatric Patients with Pneumonia Diagnosed in Intensive Care.Medicina (Kaunas, Lithuania) · 2025Article
- A Systematic Comparison of Age, Comorbidity and Frailty of Two Defined ICU Populations in the German Helios Hospital Group from 2016-2021.Journal of clinical medicine · 2025Article
- The Importance of Frailty in Determining Survival After Intensive Care.Journal of clinical medicine · 2025Article
- Which factors are associated with acquired weakness in the ICU? An overview of systematic reviews and meta-analyses.Journal of intensive care · 2024Review
- [Clinical acute and emergency medicine curriculum-focus on internal medicine : Recommendations for advanced training in internal medicine in the emergency department].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Review
- [Palliative aspects in clinical acute and emergency medicine as well as intensive care medicine : Consensus paper of the DGIIN, DGK, DGP, DGHO, DGfN, DGNI, DGG, DGAI, DGINA and DG Palliativmedizin].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Review
- Single-rater reliability of a three-dimensional instrument for decision-making in tertiary triage and ICU- prioritization-a case vignette simulation study.BMC anesthesiology · 2023Article
- The Clinical Frailty Scale for mortality prediction of old acutely admitted intensive care patients: a meta-analysis of individual patient-level data.Annals of intensive care · 2023Article
- [Trial of the GeriNOT screening tool : Identification of geriatric risk potentials on admission to hospital care from the age of 70 years].Zeitschrift fur Gerontologie und Geriatrie · 2023Article
- How Can We Best Measure Frailty in Cardiosurgical Patients?Journal of clinical medicine · 2023Article
- Intensive care of geriatric patients-a thin line between under- and overtreatment.Wiener medizinische Wochenschrift (1946) · 2022Article
- Disease-Course Adapting Machine Learning Prognostication Models in Elderly Patients Critically Ill With COVID-19: Multicenter Cohort Study With External Validation.JMIR medical informatics · 2022Article
- [Clinical importance of the detection of frailty].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- [COVID-19 in old age-The geriatric perspective].Zeitschrift fur Gerontologie und Geriatrie · 2021Review
- [Geriatric patients in the intensive care unit].Der Gastroenterologe : Zeitschrift fur Gastroenterologie und Hepatologie · 2021Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe percentage of patients in intensive care who are 80 years old or older is continually increasing. Such patients already made up more than 20% of all patients in intensive care in Germany in the years 2007-2011. Meanwhile, effective treatments that support the organs of the body and keep severely ill patients alive are also being continually developed and refined. Frailty is a key prognostic parameter. The scientifically based assessment of frailty can be highly useful in intensive care medicine with regard to consented decision-making, individualized prognostication, treatment planning, and aftercare.
methodsPertinent publications were retrieved by a selective search in the PubMed database. On the basis of the literature assessment, a variety of screening instruments were used to assess frailty and its significance for very old, critically ill patients in German intensive care units.
resultsOnly a small number of screening instruments are suitable for routine use in German intensive care units. The scores vary in diagnostic precision. The Clinical Frailty Scale (CFS) enables highly accurate prognostication; it considers the patient in relation to his or her social environment, and to the reference population. Categorization is achieved by means of pictograms that are supplemented with brief written descriptions. The CFS can be used prospectively and is easy to learn. Its interrater reliability is high (weighted Cohen's κ: 0.85 [0.84; 0.87]), and it has been validated for routine use in intensive care units in Germany.
conclusionNone of the available scores enable perfect prognostication. In Germany, frailty in intensive-care patients is currently best assessed on a simple visual scale (CFS).
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