Frailty and quality of life before intensive care unit admission and their association with mortality in a weaning and rehabilitation center

Authors

    Paula Pedace 1 , Darío Salvador Villalba 2 , Ladislao Pablo Díaz Ballve 3 , Mariana Scrigna 4 , Jessica Collins 5 , Ana Paula Rocco 6 , Amelia Matesa 7 , Laura Áreas 8 , Nicolás Golfarini 9 , Gregorio Gil Rossetti 10 , Marcos Hannun 11 , Paula Pini 12 , Sabrina Boni 13 , Sabrina Grimaldi 14 , Pablo Tocalini 15 , Julieta Curia 16 , Eliana Pérez Calvo 17 , Mara Belén Stanicio 18 , Roger Rodrigues La Moglie 19 , Pablo Buñirigo 20 , Diego Noval 21 , Fernando Planells 22

    1 Clínica Basilea
    2 Clínica Basilea
    3 Universidad Nacional de La Matanza /Hospital Nac. Prof. A. Posadas
    4 Clínica Basilea
    5 Clínica Basilea
    6 Clínica Basilea
    7 Clínica Basilea
    8 Clínica Basilea
    9 Clínica Basilea
    10 Clínica Basilea
    11 Clínica Basilea
    12 Clínica Basilea
    13 Clínica Basilea
    14 Clínica Basilea
    15 Clínica Basilea
    16 Clínica Basilea
    17 Clínica Basilea
    18 Clínica Basilea
    19 Clínica Basilea
    20 Clínica Basilea
    21 Clínica Basilea
    22 Clínica Basilea

Abstract

Objective: To analyze the mortality of subjects hospitalized in a weaning and rehabilitation center (WRC) and to identify whether frailty and quality of life before intensive care unit (ICU) admission are related risk factors.

Materials and method: A prospective, analytical, longitudinal study was conducted. Subjects admitted to the WRC with a complete record, assessed on their health status before ICU admission, and discharged from the center (alive or deceased) were included in the study. Epidemiological data were obtained from the medical records and interviews conducted during hospitalization. Frailty and quality of life were assessed using the clinical frailty scale and the Euro-Qol-5D-5L, respectively, taking as reference the values of the month before ICU admission.

Results: A total of 53 subjects discharged from the WRC, with a median age of 66 years, were evaluated. The median hospital stay in the ICU was 35 days. Out of the total, 53% of the subjects were weaned, 64% were decannulated, and 30% died. Multivariate analysis showed age and frailty as factors associated with mortality, and decannulation as a protective factor of mortality.

Conclusion: Our findings revealed that frailty before ICU admission, and not the quality of life, is associated with higher mortality. A mortality of 30% was observed.

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Published

2020-08-03

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Keywords

Frailty, Quality of life, mechanical ventlation, tracheostomy, functional independence, decannulation

How to Cite

1.
Pedace P, Villalba DS, Díaz Ballve LP, Scrigna M, Collins J, Rocco AP, Matesa A, Áreas L, Golfarini N, Gil Rossetti G, Hannun M, Pini P, Boni S, Grimaldi S, Tocalini P, Curia J, Pérez Calvo E, Stanicio MB, Rodrigues La Moglie R, Buñirigo P, Noval D, Planells F. Frailty and quality of life before intensive care unit admission and their association with mortality in a weaning and rehabilitation center. AJRPT. 2020;2(2):14-9. doi: 10.58172/ajrpt.v2i2.99