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Care of the older person
Social isolation: an attributing factor of increased frailty risk and mortality amongst advanced-age intensive care unit survivors
  1. Jennifer Loke1,2,
  2. Kah Lee2
  1. 1 Nursing, University of Hull, Hull, UK
  2. 2 General Practice, Park View Surgery, Hessle, East Riding of Yorkshire, England
  1. Correspondence to Dr Jennifer Loke, Nursing, University of Hull, Hull HU6 7RX, Kingston upon Hull, UK; j.loke{at}

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Commentary on: Falvey, JR, Cohen, AB, O’Leary, JR, et al. Association of social isolation with disability burden and 1-year mortality among older adults with critical illness. JAMA Intern Med. 2021;18:1433–1439.

Implications for practice and research

  • Social interventions during inpatient stays for timely and sustainable community measures.

  • Research-based frameworks as useful social support for older persons.


Social isolation has been recognised as a significant attributing factor of all-cause mortality.1 2 More so among the older and homebound population. This study3 investigated the association between social isolation and disability burden and mortality rate of the older intensive care unit (ICU) survivors. The findings revealed that a one-point increase in the isolation score was responsible for a 7% greater disability count and a 14% increase in 1-year mortality risk. These …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.