作者
Daniel I McIsaac, Monica Taljaard, Gregory L Bryson, Paul E Beaulé, Sylvain Gagné, Gavin Hamilton, Emily Hladkowicz, Allen Huang, John A Joanisse, Luke T Lavallée, David MacDonald, Husein Moloo, Kednapa Thavorn, Carl van Walraven, Homer Yang, Alan J Forster
发表日期
2020/2/1
期刊
Annals of surgery
卷号
271
期号
2
页码范围
283-289
出版商
LWW
简介
Objective:
To compare the accuracy of the modified Fried Index (mFI) and the Clinical Frailty Scale (CFS) to predict death or patient-reported new disability 90 days after major elective surgery.
Background:
The association of frailty with patient-reported outcomes, and comparisons between preoperative frailty instruments are poorly described.
Methods:
This was a prospective multicenter cohort study. We determined frailty status in individuals≥ 65 years having elective noncardiac surgery using the mFI and CFS. Outcomes included death or patient-reported new disability (primary); safety incidents, length of stay (LOS), and institutional discharge (secondary); ease of use, usefulness, benefit, clinical importance, and feasibility (tertiary). We measured the adjusted association of frailty with outcomes using regression analysis and compared true positive and false positive rates (TPR/FPR).
Results:
Of 702 participants, 645 …
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DI McIsaac, M Taljaard, GL Bryson, PE Beaulé… - Annals of surgery, 2020