ID | 65487 |
フルテキストURL | |
著者 |
Inaba, Mototaka
Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
Naito, Hiromichi
Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
ORCID
Kaken ID
publons
Yorifuji, Takashi
Department of Epidemiology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
ORCID
Kaken ID
publons
researchmap
Nakamichi, Chikaaki
Advanced Emergency and Critical Care Center, National Hospital Organization, Nagasaki Medical Center
Maeyama, Hiroki
Emergency and Critical Care Center, Tsuyama Chuo Hospital
Ishikawa, Hideki
Trauma and Resuscitation Center, Teikyo University Hospital
Shime, Nobuaki
Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University
Uemori, Sadayori
Department of Emergency, Yodogawa Christian Hospital
Ishihara, Satoshi
Department of Emergency and Critical Care, Hyogo Emergency Medical Center
Takaoka, Makoto
Acute Care Division, Harima-Himeji General Medical Center
Ohtsuka, Tsuyoshi
Emergency Department, National Hospital Organization Yokohama Medical Center
Harada, Masahiro
Department of Emergency and Critical Care, National Hospital Organization Kumamoto Medical Center
Nozaki, Satoshi
Emergency Department, Okayama Saiseikai General Hospital
Kohama, Keisuke
Department of Emergency, Disaster, and Critical Care Medicine, Hyogo College of Medicine
Sakurai, Ryota
Department of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University
Sato, Shuho
Emergency Medical Center, Saiseikai Senri Hospital
Muramatsu, Shun
Emergency Department, Japanese Red Cross Medical Center
Yamashita, Kazunori
Acute and Critical Care Center, Nagasaki University Hospital
Mayumi, Toshihiko
Department of Emergency Medicine, University of Occupational and Environmental Health Hospital
Aita, Kaoruko
Uehiro Division, Center for Death and Life Studies and Practical Ethics, Graduate School of Humanities and Sociology, University of Tokyo
Nakao, Atsunori
Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
Kaken ID
the LIFE Study Investigators
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抄録 | The aim of this study was to evaluate whether frailty was associated with 6-month mortality in older adults who were admitted to the intensive care unit (ICU) with an illness requiring emergency care. The investigation was a prospective, multi-center, observational study conducted among the ICUs of 17 participating hospitals. Patients >= 65 years of age who were admitted to the ICU directly from an emergency department visit were assessed to determine their baseline Clinical Frailty Scale (CFS) scores before the illness and were surveyed 6 months after admission. Among 650 patients included in the study, the median age was 79 years old, and overall mortality at 6 months was as low as 21%, ranging from 6.2% in patients with CFS 1 to 42.9% in patients with CFS >= 7. When adjusted for potential confounders, CFS score was an independent prognostic factor for mortality (one-point increase in CFS, adjusted risk ratio with 95% confidence interval 1.19 [1.09-1.30]). Quality of life 6 months after admission worsened as baseline CFS score increased. However, there was no association between total hospitalization cost and baseline CFS. CFS is an important predictor of long-term outcomes among critically ill older patients requiring emergent admission.
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備考 | The version of record of this article, first published in Scientific Reports, is available online at Publisher’s website: http://dx.doi.org/10.1038/s41598-023-32519-2
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発行日 | 2023-04-03
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出版物タイトル |
Scientific Reports
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巻 | 13巻
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号 | 1号
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出版者 | nature portfolio
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開始ページ | 5433
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ISSN | 2045-2322
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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著作権者 | © The Author(s) 2023
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論文のバージョン | publisher
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PubMed ID | |
DOI | |
Web of Science KeyUT | |
関連URL | isVersionOf https://doi.org/10.1038/s41598-023-32519-2
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ライセンス | http://creativecommons.org/licenses/by/4.0/
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Citation | Inaba, M., Naito, H., Yorifuji, T. et al. Impact of frailty on long-term mortality in older patients receiving intensive care via the emergency department. Sci Rep 13, 5433 (2023). https://doi.org/10.1038/s41598-023-32519-2
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助成機関名 |
Japan Society for the Promotion of Science
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助成番号 | JP18K08887
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