Automated Frailty Screening At-Scale for Pre-Operative Risk Stratification Using the Electronic Frailty Index.

ABSTRACT:

Background

Frailty is associated with numerous post-operative adverse outcomes in older adults. Current pre-operative frailty screening tools require additional data collection or objective assessments, adding expense and limiting large-scale implementation.

Objective

To evaluate the association of an automated measure of frailty integrated within the Electronic Health Record (EHR) with post-operative outcomes for nonemergency surgeries.

Design

Retrospective cohort study.

Setting

Academic Medical Center.

Participants

Patients 65 years or older that underwent nonemergency surgery with an inpatient stay 24 hours or more between October 8th, 2017 and June 1st, 2019.

Exposures

Frailty as measured by a 54-item electronic frailty index (eFI).

Outcome

SUBMITTER: Callahan KE 

PROVIDER: S-EPMC8127394 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature