Frailty as a predictor index in spine surgery
Introduction: Frailty is a term used to quantify the physiological age of patients. Higher levels of frailty correlate with higher complications and mortality rates after different surgical procedures. The objective of this work is to evaluate the relationship between frailty and the complications a...
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| Autores principales: | , , , , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/30371 |
| Aporte de: |
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I10-R10article-30371 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-10 |
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Revistas de la UNC |
| language |
Español |
| format |
Artículo revista |
| topic |
frailty mortality Spine postoperative complication fragilidad mortalidad columna vertebral complicaciones postoperatorias fragilidade mortalidade Coluna Vertebral complicações pós-operatórias |
| spellingShingle |
frailty mortality Spine postoperative complication fragilidad mortalidad columna vertebral complicaciones postoperatorias fragilidade mortalidade Coluna Vertebral complicações pós-operatórias Pereira Duarte, Matias Lencina, Omar Camino Willhuber, Gaston Kido, Gonzalo Julio, Bassani Petracchi, Matias Solá, Carlos Gruenberg, Marcelo Frailty as a predictor index in spine surgery |
| topic_facet |
frailty mortality Spine postoperative complication fragilidad mortalidad columna vertebral complicaciones postoperatorias fragilidade mortalidade Coluna Vertebral complicações pós-operatórias |
| author |
Pereira Duarte, Matias Lencina, Omar Camino Willhuber, Gaston Kido, Gonzalo Julio, Bassani Petracchi, Matias Solá, Carlos Gruenberg, Marcelo |
| author_facet |
Pereira Duarte, Matias Lencina, Omar Camino Willhuber, Gaston Kido, Gonzalo Julio, Bassani Petracchi, Matias Solá, Carlos Gruenberg, Marcelo |
| author_sort |
Pereira Duarte, Matias |
| title |
Frailty as a predictor index in spine surgery |
| title_short |
Frailty as a predictor index in spine surgery |
| title_full |
Frailty as a predictor index in spine surgery |
| title_fullStr |
Frailty as a predictor index in spine surgery |
| title_full_unstemmed |
Frailty as a predictor index in spine surgery |
| title_sort |
frailty as a predictor index in spine surgery |
| description |
Introduction: Frailty is a term used to quantify the physiological age of patients. Higher levels of frailty correlate with higher complications and mortality rates after different surgical procedures. The objective of this work is to evaluate the relationship between frailty and the complications and mortality rates after elective spinal surgeries within 90 days.
Material and Methods: A retrospective observational analytical study of patients older than 18 years with elective spine surgery was performed. The following variables were analyzed differentially according to their Modified Frailty Index (mFI) with a cut-off point of 0,18: age, sex, body mass index, ASA score, details of the procedures, length of stay, complications, unscheduled rehospitalizations, reoperations, and mortality within 90 postoperative days.
Results: 257 patients were included. Within the 30 complications, 16 occurred in the non-frail group (8%) and 14 in frail patients (24.5%), (p = 0.02). Six complications were infectious in the group of frail patients (10.5%) and 4 in the non-frail patients (2%), (p = 0.009). No significant differences were detected regarding the duration of surgeries, the length of stay or the reoperations, re-hospitalizations or mortality rates.
Conclusion: Patients with a modified Frailty Index ≥0,18 who underwent elective spine surgery were 3 times more likely to present complications, particularly, infectious ones. |
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/30371 |
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