Validation of the Hospital Frailty Risk Score in older surgical patients: A population-based retrospective cohort study
| Autor: | Sigurbergur Karason, Martin I. Sigurdsson, Solveig Helgadottir, Kári Hreinsson, Gudrun M Gunnarsdottir, Sveinn G Einarsson, John Whittle |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Population based Cohort Studies 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine medicine Humans 030212 general & internal medicine Risk factor Aged Retrospective Studies Framingham Risk Score Frailty business.industry Incidence (epidemiology) 030208 emergency & critical care medicine Retrospective cohort study General Medicine Hospitals Anesthesiology and Pain Medicine Cohort Electronic data business Surgical patients |
| Zdroj: | Acta anaesthesiologica ScandinavicaREFERENCES. 65(8) |
| ISSN: | 1399-6576 |
| Popis: | BACKGROUND There is a need for standardized and cost-effective identification of frailty risk. The objective was to validate the Hospital Frailty Risk Score which utilizes International Classification Diagnoses in a cohort of older surgical patients, assess the score as an independent risk factor for adverse outcomes and compare discrimination properties of the frailty risk score with other risk stratification scores. METHODS Data were analysed from all patients ≥65 years undergoing primary surgical procedures from 2006-2018. Patients were categorized based on the frailty risk score. The primary outcomes were 30-day mortality and 180-day risk of readmission. RESULTS Of 16 793 patients evaluated, 7480 (45%), 7605 (45%) and 1708 (10%) had a low, intermediate and high risk of frailty. There was a higher incidence of 30-day mortality for individuals with intermediate (2.9%) and high (8.3%) compared with low (1.4%) risk of frailty (P |
| Databáze: | OpenAIRE |
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