Key result
The Modified Frailty Index and Hopkins Frailty Score were similarly poor predictors of prolonged hospitalization, with a prediction error ratio of 1.0 (95% CI 1.0-1.0).
Why the study?
Frailty is associated with adverse postoperative outcomes, but it remains unclear which measure of frailty is best.
Do the Modified Frailty Index and Hopkins Frailty Score accurately predict prolonged hospitalization and complications in adults undergoing elective noncardiac surgery?
Population
1,042 adults presenting for preanesthesia evaluation before elective noncardiac surgery
Comparison
Modified Frailty Index vs Hopkins Frailty Score
Design
Prospective cohort study
Authors
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Neither frailty score reliably predicts prolonged stay or complications; leaves open need for validated perioperative risk tools.
Cohort (n=1,042)
Do the Modified Frailty Index and Hopkins Frailty Score accurately predict prolonged hospitalization and complications in adults undergoing elective noncardiac surgery?
Effect estimate: Ratio 1.0 (95% CI 1.0-1.0)
Absolute Event Rate: 2.5% vs 2.6%
Both the Modified Frailty Index and Hopkins Frailty Score are poor predictors of prolonged hospitalization and serious complications after noncardiac surgery.
Sonny et al. (2019) conducted a cohort in Elective noncardiac surgery (n=1,042). Modified Frailty Index vs. Hopkins Frailty Score was evaluated on Prolonged hospitalization (Ratio 1.0, 95% CI 1.0-1.0). The Modified Frailty Index and Hopkins Frailty Score were similarly poor predictors of prolonged hospitalization, with a prediction error ratio of 1.0 (95% CI 1.0-1.0).
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