Risk Stratification of Elderly Patients Undergoing Spinal Surgery Using the Modified Frailty Index.
elderly
frailty
modified frailty index
mortality
spine surgery
surgical site infection
Journal
Global spine journal
ISSN: 2192-5682
Titre abrégé: Global Spine J
Pays: England
ID NLM: 101596156
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
pubmed:
23
3
2021
medline:
23
3
2021
entrez:
22
3
2021
Statut:
ppublish
Résumé
Retrospective cohort. To validate the 11-item modified Frailty Index (mFI) as a perioperative risk stratification tool in elderly patients undergoing spine surgery. All consecutive cases of spine surgery in patients aged 65 years or older between July 2016 and June 2018 at a state-wide trauma center were retrospectively reviewed. The primary outcome was post-operative major complication rate (Clavien-Dindo Classification ≥ III). Secondary outcome measures included the rate of all complications, 6-month mortality and surgical site infection. A total of 348 cases were identified. The major complication rate was significantly lower in patients with an mFI of 0 compared to ≥ 0.45 (18.3% versus 42.5%, The mFI is significantly associated in a gradated fashion with increased morbidity and mortality. Patients with an mFI ≥ 0.27 are at greater risk of major complications, all-complications, 6-monthy mortality, and surgical site infection.
Identifiants
pubmed: 33745351
doi: 10.1177/2192568221999650
pmc: PMC9972258
doi:
Types de publication
Journal Article
Langues
eng
Pagination
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