Perioperative medicine & outcomes
Automated Electronic Frailty Index–Identified Frailty Status and Associated Postsurgical Adverse Events
Authors' conclusion
This cohort study found that frailty, as measured by an automatically calculated index integrated within the EHR, was associated with increased risk of adverse events after noncardiac surgery.
Study context
- Population
- Patients 55 years or older undergoing elective noncardiac surgery of at least 1 hour, Winston-Salem, North Carolina, October 2017–June 2021
- Participants
- 33,449 patients
- Exposure
- Prefrail or frail vs fit status by electronic frailty index
- Fitn = 11,563reference
- Prefrailn = 15,928
- Frailn = 5,958
- Outcome
- Composite of 8 adverse events:
- PSI 90 score
- Hospital-acquired conditions
- In-hospital mortality
- 30-day mortality
- 30-day readmission
- 30-day ED visit
- Transfer to skilled nursing facility
- Unexpected ICU admission after surgery
Methodological detailssingle-centre, tertiary care academic medical center
- Single-centre
- Tertiary care academic medical center
Main finding
As reported in the abstract
Each group vs fitOdds ratio (95% CI)P value
Prefrail
1.24(1.18–1.30)
P < 0.001Frail
1.71(1.58–1.82)
P < 0.001Observational data: associations, not effects.
Secondary outcomes
| Outcome | Odds (95% CI) | P value |
|---|---|---|
| Composite postoperative adverse events per 0.03-unit increase in eFI | 1.06 (1.03–1.13) | P < 0.001 |
Original publication
Automated Electronic Frailty Index–Identified Frailty Status and Associated Postsurgical Adverse Events. JAMA Netw Open. Published 1 November 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →