Frailty Syndrome and the Use of Frailty Indices as a Preoperative Risk Stratification Tool in Spine Surgery: A Review

Trevor Simcox; Derek Antoku; Nickul Jain; Frank Acosta; Raymond Hah

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자료유형: 학술저널

저자정보: Trevor Simcox (Keck School of Medicine of USC) Derek Antoku (Keck School of Medicine of USC) Nickul Jain (Keck School of Medicine of USC) Frank Acosta (Keck School of Medicine of USC) Raymond Hah (Keck School of Medicine of USC)

저널정보: 대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.13 No.5

발행연도: 2019.1

수록면: 861 - 873 (13page)

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연구주제

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연구배경

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연구방법

🏆

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This comprehensive narrative literature review aims to extract studies related to frailty indices and their use in elective spine procedures, as limited studies regarding frailty exist in the spine literature. Most studies are retrospective analyses of prospectively collected databases. Evidence suggests a positive correlation between frailty level and mortality rate, postoperative complication rate, length of stay, and the possibility of discharge to a skilled nursing facility; these correlations have been illustrated across various spine procedures. The leading index is the modified frailty index, which measures 11 deficits. The development of more comprehensive frailty indices, such as the Adult Spinal Deformity Frailty Index, are promising and have high predictive value regarding postoperative complication rate in patients with spinal deformity. However, a frailty index that combines clinical, radiographic, and laboratory measures awaits development. Perhaps, the use of a frailty index in preoperative risk stratification for elective spine procedures could serve multiple purposes, including screening for high-risk patients, enhancement of operative decision making, approximation of complication rate for informed decision making, and refinement of perioperative care. Further prospective studies are warranted to determine clinically meaningful interventions in frail individuals.

#Frailty #Adverse events #Elective surgical procedure #Spine #Mortality

참고문헌 (50)

참고문헌 신청

Vincent GK / 2010 / The next four decades: the older population in the United States: 2010 to 2050 / US Department of Commerce, Economics and Statistics Administration

Porter ME / 2008 / Value-based health care delivery / Ann Surg 248:503~509

Porter ME / 2009 / A strategy for health care reform : toward a value-based system / N Engl J Med 361:109~112

Owens WD / 1978 / ASA physical status classifications : a study of consistency of ratings / Anesthesiology 49:239~243

Haynes SR / 1995 / An assessment of the consistency of ASA physical status classification allocation / Anaesthesia 50:195~199

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