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Frailty was associated with an increased risk of short-term mortality (10 studies, relative risk [RR] 1.70; 95% CI 1.45-1.98), in-hospital mortality (five studies, RR 1.73; 95% CI 1.55-1.93), and long-term mortality (six studies, RR 1.86; 95% CI 1.44-2.42). Subgroup analysis showed that retrospective studies identified a stronger correlation between frailty and hospital LOS (three studies, MD 1.14 d; 95% CI 0.92-1.36). Conclusions Frailty is common in the elderly patients admitted to ICU, and is associated with increased mortality and