A Frailty Index Identifies Patients at High Risk of Mortality after Tracheostomy. Johnson, M., S., Bailey, T., L., Schmid, K., K., Lydiatt, W., M., & Johanning, J., M. Otolaryngology--Head And Neck Surgery: Official Journal Of American Academy Of Otolaryngology-Head And Neck Surgery, Sage, 16, 2014.
A Frailty Index Identifies Patients at High Risk of Mortality after Tracheostomy [link]Website  abstract   bibtex   
Objective: To evaluate the utility of a modified frailty index as an indicator of postoperative mortality in patients undergoing tracheostomy.; Study Design: Case series with chart review.; Setting: Tertiary care veterans hospital.; Subjects and Methods: A chart review was conducted of consecutive tracheostomies performed between April 2007 and September 2012. A modified frailty index consisting of 11 items based on the Revised Minimum Data Set Mortality Rating Index (MMRI-R) was retrospectively applied using the patient's status immediately prior to tracheostomy. The resultant 6-month calculated mortality risk was compared with both the Veterans Health Administration Surgical Quality Improvement Program's (VASQIP) 30-day calculated mortality and actual mortality.; Results: One hundred consecutive tracheostomies were analyzed. No patients were excluded. Sixty-nine patients died within the study period, with 1-, 6-, and 12-month mortality rates of 25%, 43%, and 59%, respectively. The average calculated 6-month mortality risk using the modified frailty index was 40.5% for nonsurvivors compared with 25.4% for survivors (P = .001). Both the VASQIP calculator and modified frailty index differentiated mortality risks between patients without head and neck cancer who survived less than 6 months versus those who survived longer than 6 months (P = .006 and .01). However, neither the VASQIP nor the modified frailty index differentiated mortality risks for head and neck cancer patients who survived less than 6 months versus greater than 6 months (P = .94 and .26).; Conclusion: A modified frailty index identifies patients without head and neck cancer at high risk of postoperative mortality after tracheostomy.;
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 title = {A Frailty Index Identifies Patients at High Risk of Mortality after Tracheostomy},
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 year = {2014},
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 keywords = {VASQIP,frailty,mortality,risk calculator,tracheostomy},
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 month = {16},
 publisher = {Sage},
 city = {Department of Otolaryngology, University of Nebraska Medical Center, Omaha, Nebraska, USA.},
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 notes = {ID: 24436464; Accession Number: 24436464. Language: English. Date Created: 20140117. Update Code: 20140121. Publication Type: JOURNAL ARTICLE. Journal ID: 8508176. Publication Model: Print-Electronic. Cited Medium: Internet. NLM ISO Abbr: Otolaryngol Head Neck Surg. Linking ISSN: 01945998. Date of Electronic Publication: 2014 Jan 16. Current Imprints: Publication: Jan. 2011-: London : Sage; Original Imprints: Publication: Rochester, Minn.] : The Academy, c1981-},
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 abstract = {Objective: To evaluate the utility of a modified frailty index as an indicator of postoperative mortality in patients undergoing tracheostomy.; Study Design: Case series with chart review.; Setting: Tertiary care veterans hospital.; Subjects and Methods: A chart review was conducted of consecutive tracheostomies performed between April 2007 and September 2012. A modified frailty index consisting of 11 items based on the Revised Minimum Data Set Mortality Rating Index (MMRI-R) was retrospectively applied using the patient's status immediately prior to tracheostomy. The resultant 6-month calculated mortality risk was compared with both the Veterans Health Administration Surgical Quality Improvement Program's (VASQIP) 30-day calculated mortality and actual mortality.; Results: One hundred consecutive tracheostomies were analyzed. No patients were excluded. Sixty-nine patients died within the study period, with 1-, 6-, and 12-month mortality rates of 25%, 43%, and 59%, respectively. The average calculated 6-month mortality risk using the modified frailty index was 40.5% for nonsurvivors compared with 25.4% for survivors (P = .001). Both the VASQIP calculator and modified frailty index differentiated mortality risks between patients without head and neck cancer who survived less than 6 months versus those who survived longer than 6 months (P = .006 and .01). However, neither the VASQIP nor the modified frailty index differentiated mortality risks for head and neck cancer patients who survived less than 6 months versus greater than 6 months (P = .94 and .26).; Conclusion: A modified frailty index identifies patients without head and neck cancer at high risk of postoperative mortality after tracheostomy.;},
 bibtype = {article},
 author = {Johnson, Matthew S and Bailey, Travis L and Schmid, Kendra K and Lydiatt, William M and Johanning, Jason M},
 journal = {Otolaryngology--Head And Neck Surgery: Official Journal Of American Academy Of Otolaryngology-Head And Neck Surgery}
}

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