Evidence map›Paper›PMID 40287615›Full record

Observational studyBMC anesthesiology2025

Prevalence of frailty and its effect on requirement of organ support and clinical outcomes in critically ill patients: a prospective observational single center study.

Dhananjay Kumar Singh, Venkata Ganesh, Neeru Sahni, Balaji Kannamani, Vikas Saini, Laxminarayana Yaddanapudi

Abstract readObservational Study
In one paragraph

Observational study in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dhananjay Kumar SinghDepartment of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.ORCID http://orcid.org/0009-0001-4536-8904
Venkata GaneshDepartment of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.ORCID http://orcid.org/0000-0001-8265-5198
Neeru SahniDepartment of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India. neerunalin@yahoo.com.ORCID http://orcid.org/0000-0002-8506-8076
Balaji KannamaniDepartment of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.ORCID http://orcid.org/0000-0001-7221-8875
Vikas SainiDepartment of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.ORCID http://orcid.org/0000-0002-9987-4984
Laxminarayana YaddanapudiDepartment of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.ORCID http://orcid.org/0000-0002-9822-0217

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssessing pre-hospital frailty on ICU admission can help in risk stratification. We conducted this prospective, observational study to determine the prevalence of frailty in critically ill patients based on Clinical Frailty Scale (CFS) within 24 h of admission and to study effect of frailty on requirement of organ support and clinical outcome.

methodsThe study was registered in Clinical Trials Registry-India (CTRI/2021/04/032782) on 13/04/2021. After approval from IEC and written informed consent, all adult patients admitted to our ICU from April 15th, 2021 to April 14th, 2022 were included. The patients were categorized as Frail & Non-Frail, defining frailty as CFS ≥ 5, two weeks before index admission. The groups were compared for requirement of organ support (vasoactive support, mechanical ventilation, renal replacement therapy) and clinical outcomes (hospital acquired infections (HAI), hospital and ICU length of stay (LOS) and hospital, ICU and 30-day mortality).

resultOut of 358 admissions, 317 were enrolled. The demographic data were comparable except for higher family income amongst frail patients, p < 0.001. The prevalence of frailty was 24.6%. A significantly higher number of frail patients required vasoactive support (p = 0.006). Incidence of HAI in frail group was significantly higher (48.7%) as compared to non-frail group (20.9%) (p < 0.001). The median ICU LOS was 7 days [IQR, 3-7] in frail compared to 6 days [IQR,3-10] in non-frail group, p = 0.051. The median hospital LOS in frail patients was 18 days [IQR,10-32] compared to 15 days [IQR, 8.25-26] in non-frail, p = 0.005. ICU, hospital and 30-day mortality were significantly higher in frail patients, p < 0.01.

conclusionThe prevalence of frailty in ICU patients was 24.6% and a higher number of frail patients had requirement of vasopressor support and incidence of HAI. Additionally, frail patients also had longer hospital LOS and higher ICU, hospital and 30-day mortality.

trial registrationCTRI/2021/04/032782.

Indexed as

Critical IllnessFrailtyAdultAgedFemaleHospital MortalityHumansIndiaIntensive Care UnitsLength of StayMaleMiddle AgedPrevalenceProspective StudiesRespiration, ArtificialCritically illFrailnessFrailtyFrailty syndromeIllness, critical

Identifiers

PMID40287615
PMCPMC12034203

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.