A comparative analysis evaluates predictive utility of frailty indices for postoperative complications following major head and neck procedures, suggesting tailored index selection.
The frailty indices varied in predictive utility by procedure and outcome. RAI-A and RAI-Rev offered greater granularity, with both indices excelling in nonhome discharge prediction and the RAI-Rev demonstrating superior sensitivity for rare outcomes like mortality. The predictive strength of each index was best within the context of parotidectomy, suggesting particular value in ambulatory settings. Index selection should be tailored to the surgical context and the specific complication of interest.
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Saturno et al. (2026) studied this question.
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