The perioperative frailty index derived from the Chinese hospital information system: a validation study

作者：Muxin Chen, Hao Liang, Yidi Zhao, Ruotong Liao, Jiamin Fang, Lijun Lin, Ping Ping TAN, Yan Xu, Shaohua Chen, Hongyun Chen, Lin Wei · 发表于：BMC Geriatrics · 年份：2024 · DOI：10.1186/s12877-024-05537-6 · 被引用次数：3 · 研究领域：Frailty in Older Adults、Cardiac, Anesthesia and Surgical Outcomes、Nutrition and Health in Aging

BACKGROUND: There are various frailty assessment tools in the world, and the application choice of frailty assessment tools for the elderly perioperative population varies. It remains unclear which frailty assessment tool is more suitable for the perioperative population in China. To validate the Perioperative Frailty Index (FI-32) derived from the Chinese Hospital Information System by investigating the impact of preoperative frailty on postoperative outcomes, and ascertain the diagnostic value of FI-32 for predicting postoperative complications through comparing with the FRAIL scale and the modified Frailty Index (mFI-11). METHODS: A prospective cohort study was conducted in a tertiary hospital. Elderly patients who were 60 years or older and underwent selective operation were included. The FI-32, FRAIL scale, and mFI-11 were assessed. Demographic, surgical variables and outcome variables were extracted from medical records. The data of readmission and mortality within 30 days and 90 days of surgery were ascertained by Telephone follow-up by professionally trained researchers. Multiple logistic regression was used to examine the association between frailty and complications. Receiver operating characteristic curves(ROC) were used to compare FI-32 with mFI-11 and FRAIL, to explore the predictive ability of frailty. RESULTS: )age at surgery was 69 (65,74) years. The prevalence of frailty in the study population was 16.4% (assessed by FI-32). After adjusting for concomitant va...