Authors
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
Publication date
2020/2/1
Journal
Annals of surgery
Volume
271
Issue
2
Pages
283-289
Publisher
LWW
Description
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 …
Scholar articles
DI McIsaac, M Taljaard, GL Bryson, PE Beaulé… - Annals of surgery, 2020