Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, 2-124 Clinical Sciences Building, 11350 83 Avenue, Edmonton, Alberta T6G 2G3, Canada.
Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, 1-198 Clinical Sciences Building, 11350 83 Avenue, Edmonton, Alberta T6G 2G3, Canada.
Crit Care Clin. 2018 Oct;34(4):527-547. doi: 10.1016/j.ccc.2018.06.007. Epub 2018 Aug 11.
Frailty is common, although infrequently screened for among patients admitted to intensive care. Frailty has been the focus of research in geriatric medicine; however, its epidemiology and interaction with critical illness have only recently been studied. Instruments to screen for and measure frailty require refinement in intensive care settings. Frail critically ill patients are at higher risk of poor outcomes. Frail survivors of critical illness are high users of health resources. Further research is needed to understand how frailty assessment can inform decision-making before and during an episode of critical illness and during an intensive care course for frail patients.
衰弱在重症监护病房（ICU）患者中很常见，但通常未被筛查出来。衰弱一直是老年医学研究的重点；然而，其流行病学及其与危重病的相互作用最近才被研究。用于筛查和测量衰弱的工具在重症监护环境中需要进一步完善。重症衰弱患者发生不良结局的风险更高。重症后幸存的衰弱患者是卫生资源的高使用者。需要进一步研究以了解在危重病发作前、发作期间以及虚弱患者的 ICU 治疗过程中，衰弱评估如何为决策提供信息。
