Association Between Modified Frailty Index and Postoperative Outcomes of Tracheostomies.
Otolaryngol Head Neck Surg
; 170(5): 1307-1313, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-38329229
ABSTRACT
OBJECTIVE:
The 5-item modified frailty index (mFI-5) has been used to stratify patients based on the risk of postoperative complications in several surgical procedures but has not yet been done in tracheostomies. This study investigates the association between the mFI-5 score and tracheostomy complications. STUDYDESIGN:
Retrospective database review.SETTING:
United States hospitals.METHODS:
The National Surgical Quality Improvement Program database was queried for tracheostomy patients between 2005 and 2018. The mFI-5 was calculated for each patient by assigning 1 point for each of the following comorbidities diabetes mellitus, hypertension, congestive heart failure, chronic obstructive pulmonary disease, and functionally dependent health status. Univariate and multivariable analyses were conducted to determine associations between the mFI-5 score and postoperative complications.RESULTS:
A total of 4438 patients undergoing tracheostomies were queried and stratified into the following groups mFI = 0 (N = 1741 [39.2%], mFI = 1 (N = 1720 [38.8%]), mFI = 2 (N = 726 [16.4%]), and mFI of 3 or higher (N = 251 [5.7%]). Univariate analysis showed that patients with higher mFI-5 scores had a greater proportion of smoking, dyspnea, obesity, steroid use, emergency cases, complications, reoperations, and mortality (P < .001). Multivariable analyses found associations between mFI-5 score and any complication (odds ratio [OR] 1.49, 95% confidence interval [CI] 1.03-2.16, P = .035), mortality (OR 2.32, 95% CI 1.15-4.68, P = .019), and any medical complication (OR 2.75, 95% CI 1.88-4.02, P < .001).CONCLUSION:
This study suggests an association between the mFI-5 score and postoperative complications in tracheostomies. mFI-5 score can be used to stratify tracheostomy patients by operative risk.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Traqueostomia
/
Fragilidade
Tipo de estudo:
Risk_factors_studies
Aspecto:
Patient_preference
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Otolaryngol Head Neck Surg
Ano de publicação:
2024
Tipo de documento:
Article