Koorosh Semsar-Kazerooni, Keith Richardson, Véronique-Isabelle Forest, Alex Mlynarek, Michael P Hier, Nader Sadeghi, Marco A Mascarella
BACKGROUND: This study aims to develop and validate, a clinically useful modified index of fragility (mIFG) to identify patients at risk of fragility and to predict postoperative adverse events. METHOD: An observational study was performed using the American College of Surgeons National Surgical Quality Improvement Program database, from 2006 to 2018. All patients undergoing nonemergency head and neck cancer surgery were included. A seven-item index (mIFG) was developed using variables associated with frailty, cachexia, and sarcopenia, drawn from the literature (weight loss, low body mass index, dyspnea, diabetes, serum albumin, hematocrit, and creatinine)...
January 26, 2023: Journal of Otolaryngology—Head & Neck Surgery