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Title: Prognosis and outcomes of older adults admitted to intensive care units

Author:

Fronczek, Jakub

Date:

2022

Type:

Praca doktorska

Abstract:

Older critically ill adults face an uncertain prognosis and variable outcomes across different healthcare systems. This study aimed to explain the variation in short-term mortality of patients ≥80 years old hospitalised in intensive care units across Europe and identify an optimal approach to prognostication using the Clinical Frailty Scale. Analysis of data from two international cohort studies showed that patient characteristics, not the organisation of healthcare systems, are responsible for observed differences in short-term mortality between European countries. Considering the small variation in outcomes between individual intensive care units identified after adjustment for confounding in multilevel logistic regression models, the signal of volume-outcome relationship should prompt researchers to verify the hypothesis that intensive care units with a larger annual volume of admissions have slightly lower mortality rates. The added prognostic value of the Clinical Frailty Scale was the largest when all original levels of the scale were used to predict mortality. Oversimplified assessment of the degree of frailty leads to a loss of prognostic information.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

opieka intensywna ; geriatria

Degree grantor:

Rada Dyscypliny Nauki medyczne

Promoter:

Szczeklik, Wojciech

Date issued:

2022

Identifier:

oai:dl.cm-uj.krakow.pl:4950

Call number:

ZB-136157

Language:

pol; eng

Access rights:

tylko w bibliotece

Subject and keywords:

critical care aged 80 and over outcome assessment health care prognosis multicentre studies

Object collections:

Last modified:

May 23, 2024

In our library since:

Feb 28, 2023

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0

Number of object content views in PDF format

0

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/4951

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Edition name Date
ZB-136157 May 23, 2024

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