Looking beyond the eyeball test: A novel vitality index to predict recovery after esophagectomy.

ABSTRACT:

Objectives

To (1) measure 4 physiologic metrics before esophagectomy, (2) use these in an index to predict composite postoperative outcome after esophagectomy, and (3) compare predictive accuracy of this index to that of the Fried Frailty Index and Modified Frailty Index.

Methods

Grip strength (kilograms), 30-second chair sit-stands (number), 6-minute walk distance (meters), and normalized psoas muscle area (cm²/m) were measured for 77 consenting patients from January 1, 2018, to April 1, 2019. Imbalanced random forest classification estimated probability of a composite postoperative outcome, which included mortality, respiratory complications, anastomotic leak, delirium, length of stay ≥14 days, discharge to nursing facility, and readmission. G-mean error was use

SUBMITTER: Tang A 

PROVIDER: S-EPMC8715769 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature