衰弱作为神经外科术后预后的预测因子:一项系统综述。

IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY
Journal of neurosurgical sciences Pub Date : 2024-04-01 Epub Date: 2023-10-25 DOI:10.23736/S0390-5616.23.06130-1
Joanna M Roy, Syed F Kazim, Dylan Macciola, Dante N Rangel, Kavelin Rumalla, Zafar Karimov, Remy Link, Javed Iqbal, Muhammad A Riaz, Georgios P Skandalakis, Carmelo V Venero, Rachel B Sidebottom, Alis J Dicpinigaitis, Christian S Kassicieh, Omar Tarawneh, Matt S Conlon, Rachel Thommen, Daniel J Alvarez-Crespo, Karizma Chhabra, Sahaana Sridhar, Amanpreet Gill, John Vellek, Phuong A Nguyen, Grace Thompson, Myranda Robinson, Christian A Bowers
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引用次数: 0

摘要

引言:基线虚弱状态已被用于预测广泛的结果,并指导神经外科的术前决策。这篇系统综述旨在分析现有关于利用虚弱作为神经外科手术结果预测指标的文献。证据获取:我们根据PRISMA指南进行了系统审查。本系统综述包括利用基线虚弱状态预测神经外科干预后结果的研究。将少肌症作为虚弱的唯一衡量标准的研究被排除在外。PubMed、EMBASE和Cochrane图书馆从成立到2023年3月1日进行了检索,以确定相关文章。证据综合:总体而言,244项研究符合纳入标准。11因素改良虚弱指数(mFI-11)是最常用的虚弱指标(N=91,37.2%),其次是5因素改良虚弱指标(mFI-5)(N=80,32.7%)。脊柱外科是最常见的亚专业(N=131,53.7%),其次为颅内肿瘤切除术(N=57,23.3%),术后并发症是神经外科虚弱研究中报告最多的结果(N=130,53.2%)。美国和鲍尔斯作者小组在研究期间发表的文章数量最多(分别为176,72.1%和37,15.2%)。结论:多年来,脆弱的文献呈指数级增长,并已纳入神经外科决策中。尽管存在广泛的虚弱指数,但其效用可能因其在门诊临床环境中的应用能力而异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Frailty as a predictor of postoperative outcomes in neurosurgery: a systematic review.

Introduction: Baseline frailty status has been utilized to predict a wide range of outcomes and guide preoperative decision making in neurosurgery. This systematic review aims to analyze existing literature on the utilization of frailty as a predictor of neurosurgical outcomes.

Evidence acquisition: We conducted a systematic review following PRISMA guidelines. Studies that utilized baseline frailty status to predict outcomes after a neurosurgical intervention were included in this systematic review. Studies that utilized sarcopenia as the sole measure of frailty were excluded. PubMed, EMBASE, and Cochrane library was searched from inception to March 1st, 2023, to identify relevant articles.

Evidence synthesis: Overall, 244 studies met the inclusion criteria. The 11-factor modified frailty index (mFI-11) was the most utilized frailty measure (N.=91, 37.2%) followed by the five-factor modified Frailty Index (mFI-5) (N.=80, 32.7%). Spine surgery was the most common subspecialty (N.=131, 53.7%), followed by intracranial tumor resection (N.=57, 23.3%), and post-operative complications were the most reported outcome (N.=130, 53.2%) in neurosurgical frailty studies. The USA and the Bowers author group published the greatest number of articles within the study period (N.=176, 72.1% and N.=37, 15.2%, respectively).

Conclusions: Frailty literature has grown exponentially over the years and has been incorporated into neurosurgical decision making. Although a wide range of frailty indices exist, their utility may vary according to their ability to be incorporated in the outpatient clinical setting.

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来源期刊
Journal of neurosurgical sciences
Journal of neurosurgical sciences CLINICAL NEUROLOGY-SURGERY
CiteScore
3.00
自引率
5.30%
发文量
202
审稿时长
>12 weeks
期刊介绍: The Journal of Neurosurgical Sciences publishes scientific papers on neurosurgery and related subjects (electroencephalography, neurophysiology, neurochemistry, neuropathology, stereotaxy, neuroanatomy, neuroradiology, etc.). Manuscripts may be submitted in the form of ditorials, original articles, review articles, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work.
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