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Table 1 Characteristics of included studies

From: Clinical Frailty Scale (CFS) indicated frailty is associated with increased in-hospital and 30-day mortality in COVID-19 patients: a systematic review and meta-analysis

Study

Origin

Recruitment period

Study type

Frailty Scale

Frailty assessment

Inclusion criteria

No. of patients

Age (years)

Sex

Outcomes

Age (years)

COVID-19 diagnosis

Total

Deceased

Mean/Median

SD/IQ1–3

Male n (%)

Aliberti et al. [28]

Brazil

30.03.2020–07.07.2020

R/C

CFS

R/P+

> 50y

PCR

1830

666

66

59–74

1061 (38)

30-day mortality

Andrés-Esteban et al. [29]

Spain

15.07.2020–31.07.2020

R/C

CFS

R/P+

0–97

PCR

254

104

70.16

16.01

155 (61)

In-hospital mortality; frailty diff. for in-hospital mort.; ICU admission; LOH

Apea [30]

UK

01.01.2020–13.05.2020

P/C

CFS, HFRS

R

> 16

PCR

831

315

n/a

n/a

n/a

30-day mortality

Aw [31]

UK

01.03.2020–30.04.2020

R/C

CFS

R/P+

> 65

PCR or Clin or Rad

677

271

81.1

8.1

366 (54.1)

In-hospital mortality, ICU admission

Baker et al. [32]

UK

31.01.2020–16.04.2020

R/C

CFS

R

> 18y

PCR

316

84

75

60–83

173 (54.7)

Frailty diff. for 30-day mort

Bavaro et al. [33]

Italy

01.03.2020–15.06.2020

R/C

CFS

R/P+

> 65y

PCR

206

56

80

72–86

98 (48)

In-hospital mortality; LOH

Bielza [34]

Spain

20.03.2020–01.06.2020

R/C

CFS

P+

> 70

PCR or Clin

630

282

87

82.9–91.1

223 (35.4)

30-day mortality, frailty diff. for 30-day mort. and severe vs non-severe cases

Blomaard [35]

Netherlands

27.02.2020–14.05.2020

R/C

CFS

R/P+

> 70

PCR or Clin or Rad

1376

499

78

74–84

830 (60.4)

In-hospital mortality, ICU admission, LOH, invasive ventilation, delirium, discharge destination

Bradley [36]

UK

01.04.2020–14.04.2020

P/C

CFS

P

n/r

PCR

830

300

70

58–80

509 (61.3)

30 day mortality, frailty diff. for 30-day mortality and 72 h mortality

Brill [37]

UK

10.03.2020–08.04.2020

R/C

CFS

P

n/r

PCR

450

173

72

56–83

272 (60)

Frailty diff. for in-hospital mortality

Burns [38]

UK

13.03.2020–22.04.2020

R/C

CFS

P

n/r

PCR

28

14

81.5

54–91

15 (54)

In-hospital mortality; frailty diff. for in-hospital mortality and duration of respiratory support

Cecchini et al. [39]

Italy

01.03.2020–30.04.2020

R/C

CFS

R

> 65y

PCR/CXR

122

 

87.1

6

55 (45.1)

Frailty diff. for in-hospital mort

Chinnadurai [40]

UK

13.03.2020–30.04.2020

R/C

CFS

P

n/r

PCR

215

86

74

60–82

133 (61.9)

In-hospital mortality

Covino [41]

Italy

01.0.4.2020–30.03.2021

P/C

CFS

P

> 80y

PCR

729

287

85

82–89

345 (47.3)

In-hospital mortality

Cuvelier [42]

Switzerland

13.03.2020–11.05.2020

R/C

CFS

R

> 80y

NR

20

10

87,1

82.8–90.6

14 (70)

Frailty diff. for in-hospital mort

Davis [43]

UK

18.03.2020–20.04.2020

R/C

CFS

R

n/r

PCR

222

95

82

56–99

74 (33)

30-day mortality

De Smet [44]

Belgium

12.03.2020–30.04.2020

R/C

CFS

P+

n/r

PCR

81

19

85

81–90

33 (41)

In-hospital mortality, frailty diff. for in-hospital mortality

Dres et al. [45]

France, Switzerland, Belgium

25.02.2020–04.05.2020

P/C

CFS

P

> 70y

PCR

1199

442

74

71–77

873 (72.8)

30-day mortality

Fagard [46]

Belgium

16.03.2020–16.05.2020

R/C

CFS

P+

> 70

PCR or Clin and CT

105

14

82

76–87

55 (52.4)

In-hospital mortality, frailty diff. for in-hospital mortality

Fallon et al. [47]

Ireland

25.03.2020–24.04.2020

R/C

CFS

R/P+

> 65y

PCR

86

29

77

 

n/r

Frailty diff. for 30-day mort

Fumagalli et al. [48]

Italy

22.02.2020–30.05.2020

R/C

mFI

R

> 75y

Clin

221

97

82

78–86

134 (60.6)

In-hospital mortality

Gilis [49]

France

03.03.2020–25.04.2020

P/C

CFS

P

> 75

PCR

186

56

85.3

5.78

92 (49.5)

30-day mortality, ICU admission, laboratory findings, symptoms, delirium, treatment

Hewitt [50]

UK, Italy

27.02.2020–28.04.2020

P/C

CFS

P+

> 18

PCR or Clin

1564

425

74

61–83

903 (57.7)

In-hospital mortality; LOH

Hoek [51]

Netherland

27.02.2020–30.04.2020

R/C

CFS

R

n/r

PCR

23

5

n/a

n/a

18 (78.3)

Frailty diff. for in-hospital mortality (solid organ transplant recipients)

Jung et al. [52]

Austria, Belgium, Denmark, Egypt, England, France, Germany, Greece, India, Iran, Iraq, Ireland, Israel, Italy, Libya, Mexico, Morocco, Netherland, Norway, Poland, Portugal, Saudi Arabia, Spain, Sudan, Switzerland, USA

19.03.2020–26.05.2020

P/C

CFS

P+

> 70y

PCR

1346

540

75

72–78

965 (71.7)

30-day mortality

Knights [53]

UK

01.03.2020–31.03.2020

R/C

CFS

R

n/r

PCR

108

34

68.7

1.5

63 (58)

Frailty diff. for in-hospital mortality

Koduri et al. [54]

UK

20.02.2020–07.05.2020

R/C

CFS

R

> 18y

PCR or Clin + CT

500

193

69,39

17,2

300 (60)

Frailty diff. for in-hospital mort

Kundi [55]

Turkey

11.03.2020–22.06.2020

R/C

HFRS

R

> 65

PCR

18,234

3315

74.1

7.4

8498 (46.6)

in-hospital mortality; Frailty diff. for in-hospital mortality; LOH

Kurtz et al. [56]

Brazil

27.02.2020–28.10.2020

P/C

mFI

P

> 18y

PCR

13,301

1785

54

41–69

7752 (58)

30-day mortality

Lozano-Montoya et al. [57]

Spain

03.2020–05.2020

R/C

CFS

R

> 75y

PCR or Clin + CT

300

111

86.3

6.6

112 (37.3)

In-hospital mortality

Maguire et al. [58]

UK

18.05.2020–06.07.2020

R/C

CFS

n/r

> 16y

PCR

261

58

  

119 (46)

30-day mortality

Maki et al. [59]

Japan

02.2020–05.2020

R/C

MPI

R

> 65y

PCR

18

4

82.89

10.2

7 (38.9)

In-hospital mortality

Marengoni [60]

Italy

08.03.2020–17.04.2020

R/C

CFS

R

n/r

PCR or CT

165

42

69.3

14.5

100 (60.6)

In-hospital mortality, ICU admission

McWilliams [61]

UK

03.2020–04.2020

P/C

CFS

P

> 18

n/a

177

67

n/a

n/a

127 (71.8)

In-hospital mortality, ICU mortality, ICU rehabilitation (only ICU patients)

Mendes [62]

Switzerland

13.03.2020–14.04.2020

R/C

CFS

R

> 65

PCR or Clin and Rad

235

76

86.3

6.5

102 (43.4)

In-hospital mortality, frailty diff. for in-hospital mortality

Moledina [63]

UK

23.03.2020–07.04.2020

R/C

CFS

R

n/r

PCR

229

75

73

56–81

144 (63)

Frailty diff. for 30-day mortality

Moloney [64]

Ireland

17.02.2020–24.04.2020

R/C

CFS

R

> 70

PCR

69

16

79

75–85

40

In-hospital mortality; symptoms, COVID-19 severity, radiological findings, ventilation

Navaratnam et al. [65]

UK

01.03.2020–31.05.2020

R/C

HFRS

R

> 18y

PCR

91,541

28,200

  

50,668 (55.4)

In-hospital mortality

Noble et al. [66]

UK

03.2020–06.2020

R/C

CFS

n/r

> 18y

PCR or Clin

164

68

62.1

 

110 (61.1)

in-hospital mortality

Osuafor [67]

UK

01.03.2020–15.05.2020

R/C

CFS

R

> 65

PCR or Clin

214

74

80.3

8.3

120 (56.1)

In-hospital mortality, ICU admission, LOH, readmission; delirium, mobility at discharge, prolonged LOH, death within 14 days of discharge

Owen [68]

UK

29.02.2020–16.04.2020

R/C

CFS

R

> 65

PCR

206

92

78.8

8.3

n/a

30-day mortality, ICU admission, ICU mortality

Piers [69]

Belgium

03.2020–04.2020

R/C

CFS

R

> 80

n/a

711

246

n/a

n/a

n/a

In-hospital mortality, ICU admission

Pilotto et al. [70]

Italy

31.01.2020–31.12.2020

P/C

MPI

P

> 65y

PCR

227

43

80.5

 

93 (41)

In-hospital mortality

Ponsford et al. [71]

UK

01.03.2020–01.07.2020

R/C

CFS

P

> 18y

PCR

2508

885

74

62.5–85.5

1363 (54.3)

In-hospital mortality

Ramos-Rincon et al. [72]

Spain

03.03.2020–02.05.2020

R/C

CFS, HFRS

R

> 18y

PCR

290

48

   

In-hospital mortality; ICU admission; LOH

Sablerolles et al. [73]

Austria, Belgium, Denmark, France, Germany, Italy, Netherlands, Portugal, Spain, Switzerland, UK

30.03.2020–15.07.2020

R/C

CFS

P

> 18y

PCR or Clin + CT

2434

456

67

55–77

1480 (61)

In-hospital mortality;ICU admission

Steinmeyer [74]

France

13.03.2020–04.05.2020

R/C

FIND

R

n/r

PCR or Clin and CT

94

17

85.5

7.5

42 (44.6)

In-hospital mortality

Straw [75]

UK

05.03.2020–07.05.2020

R/C

CFS

R

> 18

PCR

485

159

71.2

16.9

259 (45.8)

Frailty diff. for in-hospital mortality

Tehrani [76]

Sweden

05.03.2020–28.04.2020

R/C

CFS

R

n/r

PCR

255

70

66

17

150 (59)

In-hospital mortality, ventilation

Thiam et al. [77]

Malaysia

25.02.2020–27.05.2020

R/C

CFS

R

> 60y

Clin

26

6

76.2

8.2

11 (42.3)

In-hospital mortality

van Steenkiste et al. [78]

Netherland

09.03.2020–01.05.2020

R/C

CFS

R

> 18y

n/r

32

24

79

74.5–83

22 (69)

Frailty diff. for in-hospital mort

Verholt et al. [79]

Denmark

01.03.2020–31.05.2020

R/C

MPI

R

> 75y

Clin

100

37

82

77–84

44 (44)

In-hospital mortality; 30-day and 90-day mortality

Welch et al. [80]

Egypt, Spain, UK, Greece Ireland, Iraq, Italy, Libya, Saudi Arabia, Sudan, Turkey, USA

n/r

P/C + R/C

CFS

R/P

> 18y

PCR or Clin

5711

1596

74

58–83

3149 (55.1)

In-hospital mortality

Wolfisberg et al. [81]

Switzerland

26.02.2020–30.04.2020 and 01.10.2020–31.12.2020

R/C

CFS

R/P

> 18y

PCR or Clin + rAT

486

92

65.9

14.7

317 (65.2)

In-hospital mortality; frailty diff. for in-hospital mort.; ICU admission

  1. Highlighted studies are included in the quantitative analyses. Age is reported using mean ± SD, or median (IQ 1–3) except: Davis P.R. where data was reported as mean (range). The method of frailty assessment was indicated by P for prospective and R in case of retrospective assessment. In case of prospective frailty assessment, if information about the training of the assessor was disclosed, it is marked by ‘+’
  2. n/a not available, n/r no restriction, P/C prospective cohort, R/C retrospective cohort, CFS Clinical Frailty Scale, HFRS Hospital Frailty Risk Score, FiND Frail Non-Disabled questionnaire, PCR polymerase chain reaction, Clin diagnosis based on clinical suspicion, Rad radiologically suspected diagnosis, CT computer tomography based diagnosis, CXR chest X-rax, rAT rapid antigen test, SD standard deviation, IQ interquartile, OR odds ratio, ICU intensive care unit, LOH length of hospitalization, UK United Kingdom