Characteristics and outcomes of frail patients with suspected infection in intensive care units: a descriptive analysis
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RESEARCH ARTICLE
Open Access
Characteristics and outcomes of frail patients with suspected infection in intensive care units: a descriptive analysis from a multicenter cohort study Akira Komori1, Toshikazu Abe2,3,4* , Kazuma Yamakawa5, Hiroshi Ogura6, Shigeki Kushimoto7, Daizoh Saitoh8, Seitaro Fujishima9, Yasuhiro Otomo10, Joji Kotani11, Yuichiro Sakamoto12, Junichi Sasaki13, Yasukazu Shiino14, Naoshi Takeyama15, Takehiko Tarui16, Ryosuke Tsuruta17, Taka-aki Nakada18, Toru Hifumi19, Hiroki Iriyama1, Toshio Naito1, Satoshi Gando20,21 and for the JAAM SPICE Study Group
Abstract Background: Frailty is associated with morbidity and mortality in patients admitted to intensive care units (ICUs). However, the characteristics of frail patients with suspected infection remain unclear. We aimed to investigate the characteristics and outcomes of frail patients with suspected infection in ICUs. Methods: This is a secondary analysis of a multicenter cohort study, including 22 ICUs in Japan. Adult patients (aged ≥16 years) with newly suspected infection from December 2017 to May 2018 were included. We compared baseline patient characteristics and outcomes among three frailty groups based on the Clinical Frailty Scale (CFS) score: fit (score, 1–3), vulnerable (score, 4), and frail (score, 5–9). We conducted subgroup analysis of patients with sepsis defined as per Sepsis-3 criteria. We also produced Kaplan–Meier survival curves for 90-day survival. (Continued on next page)
* Correspondence: [email protected] 2 Department of Emergency and Critical Care Medicine, Tsukuba Memorial Hospital, 1187-299, Kaname, Tsukuba, Ibaraki 300-2622, Japan 3 Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Komori et al. BMC Geriatrics
(2020) 20:485
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Results: We enrolled 650 patients with suspected infection, in
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