Association of Routine Preoperative Frailty Assessment With 1-Year Postoperative Mortality.

ABSTRACT:

Importance

Patient frailty is a known risk factor for adverse outcomes following surgery, but data are limited regarding whether systemwide interventions related to frailty are associated with improved patient outcomes.

Objective

To evaluate whether a frailty screening initiative (FSI) is associated with reduced late-term mortality after elective surgery.

Design, setting, and participants

This quality improvement study with an interrupted time series analysis used data from a longitudinal cohort of patients in a multihospital, integrated health care system in the US. Beginning in July 2016, surgeons were incentivized to measure frailty with the Risk Analysis Index (RAI) for all patients considering elective surgery. Implementation of the BPA occurred in February 2018.

SUBMITTER: Varley PR 

PROVIDER: S-EPMC9947800 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature