The 5-Item Modified Frailty Index Predicts Adverse Outcomes in Trauma

Background: Ageing is a global fact affecting both developed and developing countries.It brings out various catabolic changes in body resulting in frailty(i.e. the person is not able to with stand minor stresses of the environment, due to reduced reserves in psychologicalreserve of several organ system).Thus causing a great burden of disease, dependence & health care cost. Sarcopenia is the leading component for frailty in the elderly population, but very few studies have been done in India for correlating frailty with sarcopenia. Aim: To compare sarcopenia with modified frailty index (MFI) as a predictor of adverse outcomes in critically ill elderly patients. Methodology: Cross-sectional study will be performed on all the critically ill geriatric subjects/patients coming to all the ICU's of AVBRH, Sawangi (M), Wardha who will satisfy various inclusion and exclusion criteria for selection and all standard parametric & non-parametric data will be assessed by using standard descriptive & inferential statistics. Expected Results: In our study, we are anticipating that the Modified frailty index to be a better predictor of adverse outcomes in terms of mortality as compared to sarcopenia in the critically ill elderly patients. Also, we are anticipating that sarcopenia to be the most important contributor of frailty in critically ill elderly patients and the prevalence of frailty will be high in critically ill elderly patients. Limitation: Due to limited time frame & resources we will not be able to follow up the patients.

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Association of the modified frailty index with adverse outcomes after penile prosthesis implantation

The Aging Male ◽

10.1080/13685538.2017.1292499 ◽

2017 ◽

Vol 20 (2) ◽

pp. 119-124 ◽

Cited By ~ 8

Author(s):

Khaled Madbouly ◽

Dulaim AlHajeri ◽

Mohamad Habous ◽

Saleh Binsaleh

Keyword(s):

Frailty Index ◽

Penile Prosthesis ◽

Adverse Outcomes ◽

Prosthesis Implantation ◽

Modified Frailty Index

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Modified Frailty Index Predicts Postoperative Outcomes in Patients Undergoing Radical Pelvic Surgery

The American Surgeon ◽

10.1177/000313482008600222 ◽

2020 ◽

Vol 86 (2) ◽

pp. 95-103

Author(s):

Shannon L. Mcchesney ◽

Daniel J. Canter ◽

Dominique J. Monlezun ◽

Heather Green ◽

David A. Margolin

Keyword(s):

Radical Cystectomy ◽

Operating Characteristic ◽

Frailty Index ◽

Adverse Outcomes ◽

Pelvic Surgery ◽

Characteristic Analysis ◽

Modified Frailty Index ◽

American Society ◽

Prediction Of Complications ◽

American Society Of Anesthesiologists

Patients undergoing radical pelvic surgery such as proctectomy or radical cystectomy are at risk of experiencing a variety of complications. Frailty renders patients vulnerable to adverse events. We hypothesize that frailty measured preoperatively using a validated scoring system correlates with increased likelihood of experiencing Clavien-Dindo grade IV complications and 30-day mortality and may be used as a predictive model for patients preoperatively. The NSQIP database was queried for patients who underwent proctectomy or radical cystectomy from 2008 to 2012. Pre-operative frailty was calculated using the 11-point modified frailty index (MFI). Patients were scored based on the presence of indicators and categorized into two groups (<3 or ≥3). Major postoperative morbidities and mortality were identified and analyzed in each group. 10,048 proctectomy and cystectomy patients were identified. The MFI was found to be predictive of both 30-day mortality ( P < 0.0001) and Clavien-Dindo grade IV complications ( P < 0.0001). Receiver operating characteristic analysis demonstrated improved discriminative power of the MFI with the addition of American Society of Anesthesiologists class for both prediction of complications and 30-day mortality. An MFI score of ≥3 is predictive of postoperative morbidity and mortality. Providers should be encouraged to calculate frailty preoperatively to predict adverse outcomes.

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