";s:4:"text";s:5912:" DS, Pointer
Comparing models of frailty: the Health and Retirement Study. “Clinicians worried about the burden of frailty assessment used to ask, ‘How can I afford to measure frailty?’ However, these data demand a different question: ‘How can I afford NOT to measure frailty?” Modified frailty index may add to the overall risk assessment for major gynaecological surgery; however, it is still unclear whether the addition of mFI would allow modification of a ‘pre‐frail’ status before surgery or whether mFI would be useful as a tool for informed decision‐making for an individual patient. Cardiac Surgery Research Department, Inova Heart and Vascular Institute, Falls Church, VirginiaCardiac Surgery Research Department, Inova Heart and Vascular Institute, Falls Church, VirginiaAddress correspondence to Dr Barnett, Cardiac Surgery Research, Inova Heart and Vascular Institute, 3300 Gallows Rd, Falls Church, VA22042.Cardiac Surgery Research Department, Inova Heart and Vascular Institute, Falls Church, VirginiaCardiac Surgery Research Department, Inova Heart and Vascular Institute, Falls Church, VirginiaCardiac Surgery Research Department, Inova Heart and Vascular Institute, Falls Church, VirginiaCardiac Surgery Research Department, Inova Heart and Vascular Institute, Falls Church, VirginiaFrailty measurement in cardiac surgery is poorly studied. DS, Stiegmann
SK, Studenski
Frailty assessment thus helps in the decision-making process.
Predicting death in the nursing home: development and validation of the 6-month Minimum Data Set mortality risk index. Relation of frailty to outcomes after transcatheter aortic valve replacement (from the PARTNER trial). DS, Sauaia
Development of the Mortality Risk Index–Revised
Z, Blaum
Hall
J Surg Res. JC
Although cohort studies are lower on the hierarchy of evidence than randomised controlled trials, it is acknowledged that the cohort study design is entirely appropriate for investigating this particular research question. Any disagreement regarding the assessment of the quality of a study was resolved by consulting a third reviewer (NP).The overall strength of the evidence was evaluated using principles outlined by the Agency for Healthcare Research and Quality [The literature search identified 686 articles (187 from Pubmed, 169 from Medline, 300 from Embase and 28 from the Cochrane database). D, Parker-Oliver
frail patients reported a significantly lower physical health-related quality of life. A, Salter
2015;62(2):143–57.Feng MA, McMillan DT, Crowell K, Muss H, Nielsen ME, Smith AB.
R, Moore
Jr, Moss
KK,
When definitional clarity was required, we referred back to the definitions of the MDS variables from which the RAI-C and MMRI-R were derived. GA,
M. Simple frailty score predicts postoperative complications across surgical specialties. A. Frailty defined by deficit accumulation and geriatric medicine defined by frailty. The clinical RAI (RAI-C) uses a questionnaire to calculate the risk index based on answers provided by the patient or surrogate, and it is intended for prospective screening of patients considering operative intervention. Not all surgeries were included in VASQIP, but for those that were, we calculated the RAI-A as described in previous paragraphs and the modified Frailty Index (mFI) as described by Adams et al,Statistical analyses began with summary descriptions of the cohort, including rates of mortality and morbidity. M. Simple frailty score predicts postoperative complications across surgical specialties. et al. MA, Law
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Based on these findings, on July 1, 2011, we began measuring the RAI-C for every patient presenting to outpatient surgery clinics at the Veterans Affairs Nebraska–Western Iowa Health Care System, requiring the score as a precondition for scheduling any elective surgery.Responses to each item of the RAI-C were recorded along with patient identifiers. We assessed the RAI-C 10 698 times, from which we linked 6856 unique patients to mortality data. The aim of this review was to examine the impact of frailty on adverse outcomes in the ‘older old’ and ‘oldest old’ surgical patients. Exposures Frailty as measured by the Risk Analysis Index and operative stress as measured by the Operative Stress Score. G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. Geriatric assessment in surgical oncology: a systematic review.
S, Tinetti
If no surgery was identified for the specific patient and date, we searched the patient’s electronic medical record for any surgery performed within 90 days after the date of RAI-C evaluation, linking the patient’s record to the first surgery (if any) identified in this time frame. Frailty and early hospital readmission after kidney transplantation.
