The geriatric syndrome frailty - a risk factor for readmission to the intensive care unit? A Mixed-Methods-Study

The geriatric syndrome frailty - a risk factor for readmission to the intensive care unit? A Mixed-Methods-Study - FrRISK-Study

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

DRKS

Registry ID

DRKS00034893

Enrollment

Registered

2024-08-19

Start date

2024-09-01

Completion date

Unknown

Last updated

2025-12-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Frailty Syndrom R54

Interventions

Group 1: In patients aged 65 and over who are receiving intensive care in an interdisciplinary intensive care unit, the Clinical Frailty Scale (CFS) is employed to evaluate the degree of frailty (CFS

Eligibility

Sex/Gender

All

Age

65 Years to No maximum

Inclusion criteria

Inclusion criteria: Admission to the the intensive care unit, all surgical and conservative specialist departments, all admissions (elective/acute)

Exclusion criteria

Exclusion criteria: cardiac surgery patients, no consent by the patient/legal guardian

Design outcomes

Primary

Measure	Time frame
Incidence of readmissions to the intensive care unit (ICU) within =30 days after discharge from the intensive care unit and/or during the same hospital stay, stratified by the presence of frailty (defined as a Clinical Frailty Scale (CFS) score of =5) and absence of frailty. Readmission is defined as any subsequent admission to the ICU within =30 days after discharge from the intensive care unit and/or during the same hospital stay. Additionally, the following data is collected to provide a comprehensive description of readmission as the primary endpoint: - Reason for readmission (admission diagnosis) - Time of readmission, measured in hours of care outside the intensive care unit - Ward from which the patients are transferred back to the intensive care unit (IMC, peripheral ward)	—

Measure

Time frame

Incidence of readmissions to the intensive care unit (ICU) within =30 days after discharge from the intensive care unit and/or during the same hospital stay, stratified by the presence of frailty (defined as a Clinical Frailty Scale (CFS) score of =5) and absence of frailty. Readmission is defined as any subsequent admission to the ICU within =30 days after discharge from the intensive care unit and/or during the same hospital stay. Additionally, the following data is collected to provide a comprehensive description of readmission as the primary endpoint: - Reason for readmission (admission diagnosis) - Time of readmission, measured in hours of care outside the intensive care unit - Ward from which the patients are transferred back to the intensive care unit (IMC, peripheral ward)

—

Secondary

Measure	Time frame
Length of primary intensive care unit (ICU) stay, measured in hours; time of discharge from primary ICU stay, measured in time; type of ICU discharge, planned/unplanned; Intensive care measures during primary ICU stay: Invasive ventilation by endotracheal tube or tracheostomy, measured in hours; Continuous renal replacement procedure, measured in hours; Catecholamine therapy, measured in total amount administered in mg; Analgosedation in total amount administered in mg Complications during ICU stay: Ventilator-associated pneumonia, occurrence during the ventilation period Diagnosis confirmed by laboratory, X-ray Occurrence of pneumonia =48h after endotracheal intubation with ventilation; delirium, occurrence during ICU stay, diagnosis determined by Intensive Care Delirum Screeining Checklist (ICDSC) (measured every 8 hours or on change in consciousness) In order to gain a deeper understanding of the potential factors influencing readmission to the ICU, the care measures implemented on the downstream wards (Intermediate Care wards, peripheral wards) are also recorded in the context of the diagnosis of readmission. An illustrative example is the diagnosis of respiratory insufficiency, which encompasses the following care measures: - Management of secretions (e.g., inhalation, endotracheal suctioning) - Pain management (e.g., administration of pain medication) - Optimisation of ventilation (e.g. mobilisation, respiratory therapy) - Care measures to ensure oxygenation (e.g. oxygen application) - Care measures for oral hygiene (e.g. brushing teeth) - Care measures to prevent aspiration (e.g. help with food intake)	—

Measure

Time frame

Length of primary intensive care unit (ICU) stay, measured in hours; time of discharge from primary ICU stay, measured in time; type of ICU discharge, planned/unplanned; Intensive care measures during primary ICU stay: Invasive ventilation by endotracheal tube or tracheostomy, measured in hours; Continuous renal replacement procedure, measured in hours; Catecholamine therapy, measured in total amount administered in mg; Analgosedation in total amount administered in mg Complications during ICU stay: Ventilator-associated pneumonia, occurrence during the ventilation period Diagnosis confirmed by laboratory, X-ray Occurrence of pneumonia =48h after endotracheal intubation with ventilation; delirium, occurrence during ICU stay, diagnosis determined by Intensive Care Delirum Screeining Checklist (ICDSC) (measured every 8 hours or on change in consciousness) In order to gain a deeper understanding of the potential factors influencing readmission to the ICU, the care measures implemented on the downstream wards (Intermediate Care wards, peripheral wards) are also recorded in the context of the diagnosis of readmission. An illustrative example is the diagnosis of respiratory insufficiency, which encompasses the following care measures: - Management of secretions (e.g., inhalation, endotracheal suctioning) - Pain management (e.g., administration of pain medication) - Optimisation of ventilation (e.g. mobilisation, respiratory therapy) - Care measures to ensure oxygenation (e.g. oxygen application) - Care measures for oral hygiene (e.g. brushing teeth) - Care measures to prevent aspiration (e.g. help with food intake)

—

Countries

Germany

Contacts

Public ContactDenise Schindele

RKH Klinikum Ludwigsburg, RKH Akademie

denise.schindele@rkh-gesundheit.de+497145-91-53383

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026