Comparative assessment of 5-factor modified frailty index and American Society of Anesthesiologists classification for morbidity and mortality prediction in arthroplasty: A prospective observational study.
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引用次数: 0
Abstract
Background: Identifying early predictors of postoperative complications is paramount in frail patients. While the American Society of Anaesthesiologists classification is subjective, the 5-factor modified frailty index is simpler and associated with promising results in predicting morbidity and mortality in various surgical specialities.
Methods: This prospective observational study assessed the comparative utility of 5-factor modified frailty index and American Society of Anaesthesiologists classification in predicting intensive care unit admission and revision surgery in 220 patients following arthroplasty with standardised anaesthesia techniques under the same group of surgeons. The 5-factor modified frailty index and American Society of Anaesthesiologists class were assessed 1 day before surgery, and postoperatively, all the patients were followed up for 30 days.
Results: American Society of Anaesthesiologists and 5-factor modified frailty index had a significant association with postoperative intensive care unit requirements (odds ratio = 7.5, 95% confidence interval 1.3 to 42.4 and odds ratio = 8.3, 95% confidence interval 1.6 to 17.6, respectively). Only the 5-factor modified frailty index was significantly associated (odds ratio = 5.3, 95% confidence interval 1.3 to 9.7) with revision surgery. Patients with the 5-factor modified frailty index value of 3 had the best predictive odds for postoperative intensive care unit admission (odds ratio = 73.6, 95% confidence interval 7.5 to 718.8) and revision of surgery, particularly during total hip replacement (odds ratio = 54, 95% confidence interval 3.3).
Conclusion: The 5-factor modified frailty index exhibited a more robust predictive capacity for postoperative intensive care unit requirements and the likelihood of revision surgery, particularly a 5-factor modified frailty index score of 3 in total hip replacement procedures.
期刊介绍：
The Journal of Perioperative Practice (JPP) is the official journal of the Association for Perioperative Practice (AfPP). It is an international, peer reviewed journal with a multidisciplinary ethos across all aspects of perioperative care. The overall aim of the journal is to improve patient safety through informing and developing practice. It is an informative professional journal which provides current evidence-based practice, clinical, management and educational developments for practitioners working in the perioperative environment. The journal promotes perioperative practice by publishing clinical research-based articles, literature reviews, topical discussions, advice on clinical issues, current news items and product information.
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