Use of a 5-Item Modified Frailty Index for Assessing Outcomes After Hartmann's Reversal: An ACS-NSQIP Study

DISCUSSION: An mFI-5 of ≥2 was associated with greater morbidity, mortality, and eLOS following Hartmann's reversal. However, there were no mortality or eLOS differences in patients with an mFI-5 of 1 and only a 14% increase in any morbidity, making these patients potentially good candidates for Hartmann's reversal. Furthermore, laparoscopic surgery was associated with a protective effect for overall morbidity and eLOS, potentially mitigating some of the risk associated with higher frailty scores.PMID:37978813 | DOI:10.1177/00031348231216483

Source: The American Surgeon - November 18, 2023 Category: Surgery Authors: Kathryn E Ottaviano David C Palange Susanna S Hill Ashar Ata A David Chismark Jonathan J Canete Brian T Valerian Edward C Lee Source Type: research