The Frailty Phenotype and Palliative Care Needs of Older Survivors of Critical Illness (original) (raw)

Journal of the American Geriatrics Society, 2017

Abstract

To assess symptoms in older intensive care unit (ICU) survivors and determine whether post-ICU frailty identifies those with the greatest palliative care needs. A prospective cohort study. Urban tertiary care hospital and community hospital. Medical ICU survivors of mechanical ventilation aged 65 and older (N = 125). Baseline measurements of the Edmonton Symptom Assessment Scale (ESAS), categorized as mild (0-3), moderate (4-6), and severe (7-10), and the frailty phenotype were made during the week before hospital discharge. Functional recovery was defined as a return to a Katz activity of daily living dependency count less than or equal to the prehospitalization dependency count within 3 months. In the last 29 participants recruited, we made additional assessments of fatigue and ESAS both at baseline and 1 month after discharge. Fatigue was the most-prevalent moderate to severe symptom (74%), followed by dyspnea (53%), drowsiness (50%), poor appetite (47%), pain (45%), depression (...

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