February 23, 2023

Association of preop frailty assessment with 1-year postop mortality

By: Judy Mathias

Editor's Note

This study from the University of Pittsburgh finds that preoperative frailty screening was associated with significantly reduced 1-year postoperative mortality.

A total of 50,463 patients (22,722 before implementation of a frailty assessment initiative and 27,741 after implementation) with at least 1-year of postoperative follow-up were included in the analysis.

After implementation of the Epic Best Practice Alert-based frailty assessment initiative:

  • the proportion of frail patients referred to a primary care physician and presurgical care clinic increased significantly from 9.8% to 24.6%
  • multivariate regression analysis showed an 18% reduction in the odds of 1-year mortality
  • interrupted time series models demonstrated a significant slope change in 365-day mortality from 0.12% preimplementation to -0.04% postimplementation
  • among patients who triggered the Best Practice Alert, estimated 1-year mortality changed by -4.2%.

Future research should focus on implementing frailty screening in a broad range of practice settings and in identifying a set of interventions best suited to improving outcomes for frail patients before surgery, the authors say.


Get OR Manager Updates

Sign Up Now
Latest Issue of OR Manager
October 2023
Video Spotlight
Live chat by BoldChat