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External validation of the adult spinal deformity (ASD) frailty index (ASD-FI).

Publication ,  Journal Article
Miller, EK; Vila-Casademunt, A; Neuman, BJ; Sciubba, DM; Kebaish, KM; Smith, JS; Alanay, A; Acaroglu, ER; Kleinstück, F; Obeid, I; Carreon, LY ...
Published in: Eur Spine J
September 2018

PURPOSE: To assess the ability of the recently developed adult spinal deformity frailty index (ASD-FI) to predict odds of perioperative complications, odds of reoperation, and length of hospital stay after adult spinal deformity (ASD) surgery using a database other than the one used to create the index. METHODS: We used the ASD-FI to calculate frailty scores for 266 ASD patients who had minimum postoperative follow-up of 2 years in the European Spine Study Group (ESSG) database. Patients were enrolled from 2012 through 2013. Using ASD-FI scores, we categorized patients as not frail (NF) (< 0.3 points), frail (0.3-0.5 points), or severely frail (SF) (> 0.5 points). Multivariable logistic regression, adjusted for preoperative and surgical factors such as operative time and blood loss, was performed to determine the relationship between ASD-FI category and odds of major complications, odds of reoperation, and length of hospital stay. RESULTS: We categorized 135 patients (51%) as NF, 90 patients (34%) as frail, and 41 patients (15%) as SF. Overall mean ASD-FI score was 0.29 (range 0-0.8). The adjusted odds of experiencing a major intraoperative or postoperative complication (OR 4.5, 95% CI 2.0-10) or having a reoperation (OR 3.9, 95% CI 1.7-8.9) were higher for SF patients compared with NF patients. Mean hospital stay was 2.1 times longer (95% CI 1.8-2.4) for SF patients compared with NF patients. CONCLUSIONS: Greater patient frailty, as measured by the ASD-FI, is associated with longer hospital stays and greater odds of major complications and reoperation. These slides can be retrieved under Electronic Supplementary Material.

Duke Scholars

Published In

Eur Spine J

DOI

EISSN

1432-0932

Publication Date

September 2018

Volume

27

Issue

9

Start / End Page

2331 / 2338

Location

Germany

Related Subject Headings

  • Spinal Diseases
  • Severity of Illness Index
  • Reproducibility of Results
  • Reoperation
  • Postoperative Complications
  • Orthopedics
  • Orthopedic Procedures
  • Humans
  • Frailty
  • Adult
 

Citation

APA
Chicago
ICMJE
MLA
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Miller, E. K., Vila-Casademunt, A., Neuman, B. J., Sciubba, D. M., Kebaish, K. M., Smith, J. S., … International Spine Study Group, . (2018). External validation of the adult spinal deformity (ASD) frailty index (ASD-FI). Eur Spine J, 27(9), 2331–2338. https://doi.org/10.1007/s00586-018-5575-3
Miller, Emily K., Alba Vila-Casademunt, Brian J. Neuman, Daniel M. Sciubba, Khaled M. Kebaish, Justin S. Smith, Ahmet Alanay, et al. “External validation of the adult spinal deformity (ASD) frailty index (ASD-FI).Eur Spine J 27, no. 9 (September 2018): 2331–38. https://doi.org/10.1007/s00586-018-5575-3.
Miller EK, Vila-Casademunt A, Neuman BJ, Sciubba DM, Kebaish KM, Smith JS, et al. External validation of the adult spinal deformity (ASD) frailty index (ASD-FI). Eur Spine J. 2018 Sep;27(9):2331–8.
Miller, Emily K., et al. “External validation of the adult spinal deformity (ASD) frailty index (ASD-FI).Eur Spine J, vol. 27, no. 9, Sept. 2018, pp. 2331–38. Pubmed, doi:10.1007/s00586-018-5575-3.
Miller EK, Vila-Casademunt A, Neuman BJ, Sciubba DM, Kebaish KM, Smith JS, Alanay A, Acaroglu ER, Kleinstück F, Obeid I, Sánchez Pérez-Grueso FJ, Carreon LY, Schwab FJ, Bess S, Scheer JK, Lafage V, Shaffrey CI, Pellisé F, Ames CP, European Spine Study Group, International Spine Study Group. External validation of the adult spinal deformity (ASD) frailty index (ASD-FI). Eur Spine J. 2018 Sep;27(9):2331–2338.
Journal cover image

Published In

Eur Spine J

DOI

EISSN

1432-0932

Publication Date

September 2018

Volume

27

Issue

9

Start / End Page

2331 / 2338

Location

Germany

Related Subject Headings

  • Spinal Diseases
  • Severity of Illness Index
  • Reproducibility of Results
  • Reoperation
  • Postoperative Complications
  • Orthopedics
  • Orthopedic Procedures
  • Humans
  • Frailty
  • Adult