Blog Main Image
Publish Date
Date
November 19, 2023

Utility of the Modified 5-Items Frailty Index to Predict Complications and Mortality After Elective Cervical, Thoracic and Lumbar Posterior Spine Fusion Surgery: Multicentric Analysis From ACS-NSQIP Database

Gaston Camino-Willhuber 1 2, Jeffrey Choi 2, Fernando Holc 1, Sarah Oyadomari 3, Alfredo Guiroy 4, Hansen Bow 5, Sohaib Hashmi 2, Michael Oh 5, Nitin Bhatia 2, Yu-Po Lee 2

Affiliations expand

Abstract

Study design: Retrospective review of multicentric data.

Objectives: The modified 5-item frailty index is a relatively new tool to assess the post-operative complication risks. It has been recently shown a good predictive value after posterior lumbar fusion. We aimed to compare the predictive value of the modified 5-item frailty index in cervical, thoracic and lumbar surgery.

Methods: The American College of Surgeons - National Surgical Quality Improvement Program (ACS-NSQIP) Database 2015-2020 was used to identify patients who underwent elective posterior cervical, thoracic, or lumbar fusion surgeries for degenerative conditions. The mFI-5 score was calculated based on the presence of 5 co-morbidities: congestive heart failure within 30 days prior to surgery, insulin-dependent or noninsulin-dependent diabetes mellitus, chronic obstructive pulmonary disease or pneumonia, partially dependent or totally dependent functional health status at time of surgery, and hypertension requiring medication. Multivariate analysis was used to assess the independent impact of increasing mFI-5 score on the postoperative morbidity while controlling for baseline clinical characteristics.

Results: 53 252 patients were included with the mean age of 64.2 ± 7.2. 7946 suffered medical complications (14.9%), 1565 had surgical complications (2.9%), and 3385 were readmitted (6.3%), 363 died (.68%) within 30 days postoperative (6.3%). The mFI-5 items score was significantly associated with higher rates of complications, readmission, and mortality in cervical, thoracic, and lumbar posterior fusion surgery.

Conclusion: The modified 5-item frailty score is a reliable tool to predict complications, readmission, and mortality in patients planned for elective posterior spinal fusion surgery.

Keywords: complications; modified frailty index; readmission; spine surgery.

PubMed Disclaimer

Conflict of interest statement

Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: “Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.”

Similar articles

See all similar articles

Cited by

References

    1. Talia AJ, Wong ML, Lau HC, Kaye AH. Comparison of the different surgical approaches for lumbar interbody fusion. J Clin Neurosci. 2015;22(2):243-251. doi:10.1016/j.jocn.2014.08.008. - DOI - PubMed
    1. Czerwein JK, Jr, Thakur N, Migliori SJ, Lucas P, Palumbo M. Complications of anterior lumbar surgery [published correction appears in J Am Acad Orthop Surg. 2012;20(2):45a]. J Am Acad Orthop Surg. 2012;19(5):251-258. doi:10.5435/00124635-201105000-00002. - DOI - PubMed
    1. Kato S. Complications of thoracic spine surgery - Their avoidance and management. J Clin Neurosci. 2020;81:12-17. doi:10.1016/j.jocn.2020.09.012. - DOI - PubMed
    1. Camino-Willhuber G, Guiroy A, et al. Unplanned readmission following early postoperative complications after fusion surgery in adult spine deformity: A multicentric study. Global Spine J. 2021;2192568221991101. [published online ahead of print, 2021 Jan 28]. doi:10.1177/2192568221991101. - DOI - PMC - PubMed
    1. Camino Willhuber G, Elizondo C, Slullitel P. Analysis of postoperative complications in spinal surgery, hospital length of stay, and unplanned readmission: Application of Dindo-Clavien classification to spine surgery. Global Spine J. 2019;9(3):279-286. doi:10.1177/2192568218792053. - DOI - PMC - PubMed

Our Blog

Read Our Latest Blog

Blog Thumbnail

Utility of the Modified 5-Items Frailty Index

Utility of the Modified 5-Items Frailty Index to Predict Complications and Mortality After Elective Cervical, Thoracic and Lumbar Posterior Spine Fusion Surgery.

Read More
Blog Thumbnail

A Comparison of Short-Term Outcomes

A Comparison of Short-Term Outcomes after Surgical Treatment of Multilevel Degenerative Cervical Myelopathy in the Geriatric Patient Population.

Read More