Association of a Modified Frailty Index with Postoperative Outcomes after Ankle Fractures in Patients Aged 50 Years and Older:

Foot & Ankle Orthopaedics

RishinKadakia¹ 

关键词: Geriatric;    Ankle;    Trauma;    Fracture;    Outcomes;    Frailty;   

DOI  :  10.1177/2473011417S000225

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Ankle, TraumaIntroduction/Purpose:Frailty, a multifaceted syndrome resulting from a decrease in physiologic reserves, has been previously shown to play a significant role in elderly morbidity and mortality. The literature on frailty within orthopaedic surgery is limited currently. No study to date has assessed frailty as a predictor of postoperative outcomes in elderly patients with ankle fractures. We hypothesized that increasing frailty would be associated with increased 30-day reoperation rates and increased postoperative complications.Methods:The National Surgical Quality Improvement Project (NSQIP) was queried using the appropriate CPT codes to identify inpatients from 2005-2014 who were aged 50 years and older that sustained an ankle fracture and underwent operative fixation. Frailty was assessed using a modified frailty index (MFI), abbreviated with 11 variables from the Canadian Study of Health and Aging Frailty Index. The primary outcome was 30-day reoperation rate and secondary outcomes...

【 授权许可】

CC BY