Is the 5-factor modified Frailty Index a prognostic marker in geriatric ankle fractures
| dc.authorid | 0000-0001-8873-1358 | |
| dc.authorid | 0000-0003-1525-9966 | |
| dc.contributor.author | Aktı, Sefa | |
| dc.contributor.author | Zeybek, Hakan | |
| dc.date.accessioned | 2022-05-16T06:19:26Z | |
| dc.date.available | 2022-05-16T06:19:26Z | |
| dc.date.issued | 2022 | |
| dc.department | Tıp Fakültesi | |
| dc.description.abstract | The 5-factor modified Frailty Index (mFI-5), which is the latest version of the Frailty Index, is a tool that calculates the risk of complications after treatment by scoring the comorbidity status of the patient. The aim of this study was to evaluate the efficacy of the mFI-5 in predicting complications in geriatric patients with an ankle fracture. METHODS: A retrospective examination was made of a total of 94 patients aged >65 years who were treated for an ankle fracture in our hospital between 2015 and 2020. Weber type A, B, and C fractures were included in the study. For each patient, the mFI-5 was calculated for the comorbidity status of diabetes, chronic obstructive pulmonary disease, congestive heart failure, hypertension requiring drugs, and non-independent functional status. Multivariance logistic regression analysis was used to evaluate the mFI-5 points as a predictor of negative outcomes. RESULTS: The mFI-5 was observed to be effective in the prediction of the complications of hospital re-admission, wound site infec-tion, life-threatening medical complications, and the presence of any complication (p<0.05). In the prediction of whether or not there was any complication, the mFI-5 was determined to be a more effective tool than body mass index, American Society of Anesthesiol-ogist, age, length of stay in hospital, and duration of operation (p<0.05, OR=2.726, 95% Confidence Interval=1.285–5.783). CONCLUSION: The mFI-5 is a sensitive tool for the prediction of complications which may develop following geriatric ankle frac-ture. The five comorbidities which constitute the mFI-5 are easily obtained from the patient anamnesis, and this renders it a practical clinical tool to identify high-risk patients, determine the preoperative risks, and improve the health-care service. | |
| dc.identifier.doi | 10.14744/tjtes.2021.08972 | |
| dc.identifier.endpage | 319 | en_US |
| dc.identifier.issn | 1306-696X | |
| dc.identifier.issue | 3 | en_US |
| dc.identifier.pmid | 35485552 | |
| dc.identifier.scopusquality | Q3 | |
| dc.identifier.startpage | 315 | en_US |
| dc.identifier.uri | https:/dx.doi.org/10.14744/tjtes.2021.08972 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12451/9387 | |
| dc.identifier.volume | 28 | en_US |
| dc.identifier.wos | WOS:000764975400014 | |
| dc.identifier.wosquality | Q4 | |
| dc.indekslendigikaynak | Web of Science | |
| dc.indekslendigikaynak | Scopus | |
| dc.indekslendigikaynak | PubMed | |
| dc.language.iso | en | |
| dc.publisher | Turkish Association of Trauma and Emergency Surgery | |
| dc.relation.ispartof | Ulusal Travma ve Acil Cerrahi Dergisi | |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
| dc.rights | info:eu-repo/semantics/closedAccess | |
| dc.subject | Ankle Fracture | |
| dc.subject | Comorbidity | |
| dc.subject | Complication | |
| dc.subject | Fraility Index | |
| dc.title | Is the 5-factor modified Frailty Index a prognostic marker in geriatric ankle fractures | |
| dc.type | Article |
