Evidence map›Paper›PMID 41224881›Full record

ArticleScientific reports2025

Evaluation of the clinical frailty scale for predicting mortality or functional dependence at ICU discharge: A cohort study.

Amanda Christina Kozesinski-Nakatani, Rafaella Stradiotto Bernardelli, Jeane Cristina Fonseca Vieira, Marcelo José Martins-Junior, Maria Nesryn Tiba, Verônica Silva Barros, Taher Tiba, Beatriz Lottermann Konzen, Kamila Janiscki, Álvaro Réa-Neto and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. [Frailty in intensive care medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026
    Pooled it
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

11 authors.

Amanda Christina Kozesinski-Nakatani *Pontifical Catholic University of Paraná (PUCPR), Curitiba, PR, Brazil. akozesinski@gmail.com.
Rafaella Stradiotto Bernardelli *Pontifical Catholic University of Paraná (PUCPR), Curitiba, PR, Brazil.
Jeane Cristina Fonseca VieiraCenter for Studies and Research in Intensive Care (CEPETI), Curitiba, PR, Brazil.
Marcelo José Martins-JuniorCenter for Studies and Research in Intensive Care (CEPETI), Curitiba, PR, Brazil.
Maria Nesryn TibaPontifical Catholic University of Paraná (PUCPR), Curitiba, PR, Brazil.
Verônica Silva BarrosCenter for Studies and Research in Intensive Care (CEPETI), Curitiba, PR, Brazil.
Taher TibaPontifical Catholic University of Paraná (PUCPR), Curitiba, PR, Brazil.
Beatriz Lottermann KonzenPontifical Catholic University of Paraná (PUCPR), Curitiba, PR, Brazil.
Kamila JanisckiPontifical Catholic University of Paraná (PUCPR), Curitiba, PR, Brazil.
Álvaro Réa-Neto *Center for Studies and Research in Intensive Care (CEPETI), Curitiba, PR, Brazil.
Auristela Duarte de Lima Moser *Pontifical Catholic University of Paraná (PUCPR), Curitiba, PR, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Frailty is a critical factor influencing outcomes in intensive care units (ICUs). A retrospective cohort study involving 8041 adult ICU patients in Curitiba (May 2023-April 2024) evaluated the role of the Clinical Frailty Scale (CFS) as a mortality risk and functional dependence at ICU discharge. Patients were classified according to their CFS score at admission, with higher scores indicating greater frailty. The primary outcomes were ICU mortality and transition to a higher level of functional dependence at discharge. Multivariable models were adjusted for age, sex, number of comorbidities, type of hospitalization, presence of limitations on life-sustaining therapies, and SOFA score within the first 24 h. The cohort had a mean age of 66 years (51.4% women), with a median SOFA score of 2. Most patients were classified as “managing well” (33.5%), “vulnerable” (21%), or “mildly frail” (10.1%). Overall ICU mortality was 11.5%, and more than 40% of patients were discharged with some degree of functional dependence. Higher frailty at admission was independently associated with worse outcomes, including increased mortality and greater functional dependence. These findings reinforce the value of frailty assessment by using the CFS to support prognostic decision-making in critically ill patients.

Indexed as

FrailtyIntensive Care UnitsPatient DischargeAgedCohort StudiesCritical IllnessFemaleHospital MortalityHumansMaleMiddle AgedPrognosisRetrospective Studies

Identifiers

PMID41224881
PMCPMC12612270

What OpenQuestion holds

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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.