• Francesca Remelli, Gaetano Scaramuzzo, Maurizia Capuzzo, Elisa Maietti, Angela Berselli, Marianna Denti, Gianluca Zani, Eleonora Squadrani, Riccardo La Rosa, Carlo Alberto Volta, Stefano Volpato, and Savino Spadaro.
• Department of Medical Science, University of Ferrara, Italy.
• J Crit Care. 2023 Dec 1; 78: 154398154398.

PurposeTo test the agreement of the Clinical Frailty Scale (CFS) and the Tilburg Frailty Indicator (TFI), their association with 3, 6 months and 1-year mortality and the trajectory of frailty in a mixed population of ICU survivors.Material And MethodsThis is a prospective, multicenter, longitudinal study on ICU survivors ≥18 years old with an ICU stay >72 h. For each patient, sociodemographic and clinical data were collected. Frailty was assessed during ICU stay and at 3, 6, 12 months after ICU discharge, through both CFS and TFI.Results124 patients with a mean age of 66 years old were enrolled. The baseline prevalence of frailty was 15.3% by CFS and 44.4% by TFI. Baseline CFS and TFI correlated but showed low agreement (Cohen's K = 0.23, p < 0.001). Baseline CFS score, but not TFI, was significantly associated to 1 year mortality. Moreover, CFS score during the follow-up was independently associated 1-year mortality (OR = 1.43; 95% CI: 1.18-1.73).ConclusionsCFS and TFI identify different populations of frail ICU survivors. Frail patients before ICU according to CFS have a significantly higher mortality after ICU discharge. The CFS during follow-up is an independent negative prognostic factor of long-term mortality in the ICU population.Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.

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