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Modified frailty index predicts medical complications, length of stay, readmission, and mortality following total shoulder arthroplasty

Journal of Shoulder and Elbow Surgery Jun 15, 2019

Traven SA, et al. - Researchers examined the predictive value of the 5-factor modified frailty index (mFI-5) for postoperative complications in patients undergoing total shoulder arthroplasty (TSA). Via retrospectively analyzing the National Surgical Quality Improvement Program database, they identified 18,957 patients undergoing TSA. Findings suggest robust predictive value of mFI-5 for serious medical complications (cardiac arrest, myocardial infarction, septic shock, pulmonary embolism, postoperative dialysis, reintubation, and prolonged ventilator requirement), discharge to a facility, and readmission. With an increase in the mFI-5 score, they also noted an increase in the length of stay. However, the mFI-5 was noted to be the strongest predictor of mortality among all the measured complications, with the risk more than doubling for each point increase in the mFI-5 score. Findings thereby suggest the utility of the mFI-5 for hospitals and surgeons for identifying high-risk surgical candidates, informing preoperative counseling, and guiding perioperative care to optimize patient outcomes.
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