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Published on: July 26, 2024
Frailty as a predictor of mortality in COVID-19 patients receiving CPAP for respiratory insufficiency
Sarah Damanti1, Giuseppe Alvise Ramirez2, Enrica Paola Bozzolo3
1Unit of General Medicine and Advanced Care, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, Milan, Italy. damanti.sarah@hotmail.it.
Objective:
Exploring the association between frailty and mortality in a cohort of patients with COVID-19 respiratory insufficiency treated with continuous positive airway pressure.
Methods:
Frailty was measured using a Frailty Index (FI) created by using the baseline assessment data on comorbidities and body mass index and baseline blood test results (including pH, lactate dehydrogenase, renal and liver function, inflammatory indexes and anemia). FI > 0.25 identified frail individuals.
Results:
Among the 159 included individuals (81% men, median age of 68) frailty was detected in 69% of the patients (median FI score 0.3 ± 0.08). Frailty was associated to an increased mortality (adjusted HR 1.99, 95% CI 1.02-3.88, p = 0.04).
Conclusions:
Frailty is highly prevalent among patients with COVID-19, predicts poorer outcomes independently of age. A personalization of care balancing the risk and benefit of treatments (especially the invasive ones) in such complex patients is pivotal.
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