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The Mfi-5 To Assess Outcomes in Patients Undergoing Colectomy: A Retrospective Cohort Study Using The ACS-NSQIP Dataset.
J Gastrointest Surg
March 2025
Department of General Surgery, Boca Raton Regional Hospital-Baptist Health South Florida, Florida Atlantic University, Boca Raton, Florida, USA.
Comparison of three frailty evaluation tools in predicting postoperative adverse events in older patients undergoing lumbar fusion surgery: a prospective cohort study of 240 patients.
Eur Spine J
March 2025
Department of Orthopedics, Xuanwu Hospital, National Clinical Research Center for Geriatric Diseases, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing, China.
Purpose: To compare the utility of the frailty phenotype (FP), the FRAIL scale, and 5-item modified Frailty Index (mFI-5) in predicting postoperative adverse events after enhanced recovery after lumbar fusion surgery in older patients.
Methods: This study prospectively included older patients (> 75 years) who underwent transforaminal lumbar interbody fusion from June 2019 to August 2021. Frailty status was evaluated using FP, the FRAIL scale, and mFI-5.
Orthopedic frailty risk stratification (OFRS): a systematic review of the frailty indices predicting adverse outcomes in orthopedics.
J Orthop Surg Res
March 2025
Bowers Neurosurgical Frailty and Outcomes Data Science Lab, Flint, MI, USA.
Background: With a growing number of elderly patients requiring elective and non-elective procedures, frailty-based preoperative risk stratification is an emerging tool in orthopedic surgery to minimize adverse postoperative outcomes. This paper sought to understand the current literature regarding preoperative Orthopedic Frailty Risk Stratification (OFRS) and describe the disparate frailty indices and their capabilities for discrimination in predicting adverse postoperative outcomes.
Methods: A literature search was conducted in Pubmed, Cochrane, and Scopus for articles published during or prior to February 2024 assessing frailty following surgery for orthopedic pathologies.
New Surgical Frailty Scoring Tool: Modified 4-Factor Functional Frailty Index (mFF-4).
J Am Coll Surg
February 2025
Division of General Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.
Background: Frailty is the age-related decline in functional reserve, resulting in physical and disease vulnerability. The established 5-Factor Modified Frailty Index (mFI-5), based on the National Surgical Quality Improvement Program (NSQIP) database, is predictive but does not encompass core components of frailty - namely physical abilities, cognitive status, and nutrition. Thus, we sought to establish a scoring index more indicative of the frailty phenotype.
View Article and Find Full Text PDFDoes the 5-Item Modified Frailty Index Predict Adverse Outcomes after Retrograde Intrarenal Surgery? A Case-Control Study by the RIRSearch Group.
J Laparoendosc Adv Surg Tech A
February 2025
Clinic of Urology, Group Florence Nightingale Hospitals, Istanbul, Turkey.
We aim to assess whether severely frail patients have an increased risk of complications and worse surgical outcomes after retrograde intrarenal surgery. The data of 340 consecutive patients undergoing retrograde intrarenal surgery to treat upper tract urinary stones were analyzed retrospectively. The 5-item modified frailty index (mFI-5) was used to assess the frailty status.
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