Video-assisted thoracoscopy (VATS) is useful for improving preoperative diagnosis and staging in patients with peripheral pulmonary lesions. Additional information obtained by VATS had a major influence on the therapeutic strategy in 34% of the patients, and in 39% of the patients in the conventional surgery group thoracotomy could possibly have been avoided if VATS had been available.
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Article Synopsis
- The study aimed to assess the Modified Frailty Index (MFI-5) as a tool for predicting preoperative risks in patients undergoing video-assisted thoracoscopic surgery (VATS) who are classified under the same ASA class.
- It analyzed data from 69,145 patients using the American College of Surgeons' National Surgical Quality Improvement Program (NSQIP) database collected between 2008 and 2021 across various hospitals.
- The results indicated that while the ASA classification alone correlated well with complications such as unplanned reintubation and prolonged ventilator dependence, combining it with MFI-5 provided an even stronger predictive capability, especially for patients classified as ASA class 3.
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