MFI-11 Predicts Post-Operative Serious Complications in Patients Undergoing Surgery for Odontoid Fractures.

Autor:	Castel X; Neurosurgery Department, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Etienne, France., Pelletier JB; Neurosurgery Department, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Etienne, France., Sulpis B; Neurosurgery Department, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Etienne, France., Charier D; Neurosurgery Department, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Etienne, France., Buhot B; Neurosurgery Department, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Etienne, France., Mihail G; Neurosurgery Department, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Etienne, France., Carlioz V; Dermatology Department, Centre Hospitalier de Firminy, Firminy, France., Barral-Clavel F; Neurosurgery Department, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Etienne, France., Sylvain G; Radiology Department, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Etienne, France., Tetard MC; Neurosurgery Department, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Etienne, France., Vassal F; Neurosurgery Department, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Etienne, France.
Jazyk:	angličtina
Zdroj:	Global spine journal [Global Spine J] 2023 Sep 30, pp. 21925682231205103. Date of Electronic Publication: 2023 Sep 30.
DOI:	10.1177/21925682231205103
Abstrakt:	Study Design: Retrospective Cohort. Objectives: The objective of this study was to analyze postoperative complications in different mFI-11 groups after surgery for odontoid fractures in a geriatric population. Methods: A single center retrospective review of odontoid fractures surgery (between 2013 and 2022) in patients aged 65 years and older was conducted. The primary outcome was the occurrence of a major complication (Calvien-Dindo ≥4) within 30 days post-surgery. The secondary outcome was the occurrence of a major complication within 3 months after surgery, and death within 1-month post-surgery. Survival curve, multi-variate analysis was performed and adjusted receiver operating characteristic curves were generated. Results: There were 92 patients included in this study, with a mean age of 80.5 years. Serious complication occurred for 16 patients (17%) during hospitalization. Multivariate analysis demonstrated an mFI 11 >.27 was strongly and independently associated with serious complications within 1-month post-surgery (OR = 16.7, 95% CI = 4.50-83), as well as serious complications within 3 months post-surgery (OR = 11.8, 95% CI = 3.48-49.1) and death within 1 month post-surgery (OR = 11.7; 95% CI = 3.02-60.4). The Receiver Operator Characteristics (ROC) curves for the three models all have an Area Under the Curve (AUC) value greater than 0.7. Conclusions: The mFI-11 is a straightforward and validated tool that can be used during the preoperative period to identify the patient's level of frailty and assess their risk of postoperative complications. Patients with mFI-11 ≥.27 are at greater risk of serious complications within 1 and 3 months' post-surgery and death within 1 month post-surgery. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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