Evidence map›Paper›PMID 41726350›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2026

Frailty in Critically Ill Cancer Patients in a Lower-middle Income Country-Prevalence, Risk Factors, and Impact on Acute Clinical Outcomes and Postdischarge Health-related Quality of Life: A Single Center Study.

Suresh Kumar Sundaramurthy, Thiriloga Sundary Murali Rajagopalan, Premnath Balakrishnan, Nagarajan Ramakrishnan, Raymond Dominic Savio

Abstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Frailty or Vulnerability? Interpreting Clinical Frailty Scale Cutoffs in Critically Ill Cancer Patients.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  2. Author Response: Frailty or Vulnerability? Interpreting Clinical Frailty Scale Cutoffs in Critically Ill Cancer Patients.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  3. Understanding Outcomes in Onco-critical Care: The Role of Frailty and Organ Failure.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
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

5 authors.

Suresh Kumar SundaramurthyCritical Care Services, Apollo Proton Cancer Centre, Chennai, Tamil Nadu, India.ORCID https://orcid.org/0000-0002-6999-8820
Thiriloga Sundary Murali RajagopalanCritical Care Services, Apollo Proton Cancer Centre, Chennai, Tamil Nadu, India.ORCID https://orcid.org/0000-0001-6390-2499
Premnath BalakrishnanCritical Care Services, Apollo Proton Cancer Centre, Chennai, Tamil Nadu, India.ORCID https://orcid.org/0009-0000-9976-5174
Nagarajan RamakrishnanCritical Care Services, Apollo Hospitals, Chennai, Tamil Nadu, India.ORCID https://orcid.org/0000-0001-5208-4013
Raymond Dominic SavioCritical Care Services, Apollo Proton Cancer Centre, Chennai, Tamil Nadu, India.ORCID https://orcid.org/0000-0003-4851-0029

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: Frailty is a multifaceted condition characterized by diminished physiological reserves, reduced resilience, and heightened vulnerability to stressors. Its prevalence among critically ill patients, particularly those with cancer, poses unique challenges due to pre-existing impairments and comorbidities. This study aims to evaluate the prevalence of frailty in critically ill cancer patients, identify associated risk factors, and assess its impact on acute clinical outcomes and 90 days postdischarge health-related quality of life (HRQOL). Patients and methods: A prospective, single-center cohort study was conducted between October 2021 and September 2022, enrolling critically ill cancer patients admitted to the intensive care unit (ICU). Frailty was assessed using the clinical frailty scale (CFS) within 48 hours of ICU admission. Data on demographics, illness severity [acute physiology and chronic health evaluation II (APACHE II) score], nutritional status, and clinical outcomes were collected. Ninety days postdischarge HRQOL was evaluated using the EuroQol 5-dimension 5-level (EQ-5D-5L) questionnaire. Results: All 627 enrolled patients were identified as frail, with 79.7% categorized as having mild frailty. Age ( Conclusion: Frailty is highly prevalent among critically ill cancer patients. Increasing frailty adversely impacts clinical outcomes and postdischarge HRQOL. Tailored interventions are essential to address the complex needs of this vulnerable population. How to cite this article: Sundaramurthy SK, Murali Rajagopalan TS, Balakrishnan P, Ramakrishnan N, Dominic Savio R. Frailty in Critically Ill Cancer Patients in a Lower-middle Income Country-Prevalence, Risk Factors, and Impact on Acute Clinical Outcomes and Postdischarge Health-related Quality of Life: A Single Center Study. Indian J Crit Care Med 2026;30(1):19-26.

Indexed as

Clinical frailty scaleFrailtyHealth related quality of lifeOncocritical careOutcomesPrevalenceRisk factors

Identifiers

PMID41726350
PMCPMC12920334

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.