THE EFFICIENCY OF THE 5-FACTOR MODIFIED FRAILTY INDEX EFFECTIVE IN PREDICTING COMPLICATIONS AFTER REVERSE SHOULDER ARTHROPLASTY

Authors : Hakan Yolaçan, Serkan Güler

Pages : 270-274

Doi:10.24938/kutfd.1649372

View : 38 | Download : 116

Publication Date : 2025-12-25

Article Type : Research Paper

Abstract :Objective: The latest and shortest version of the frailty index evaluates five comorbidities and is called the 5-factor modified frailty index (mFI-5). We aimed to evaluate the effectiveness of mFI-5 in predicting the complications that occur in patients who undergo reverse shoulder arthroplasty for rotator cuff tear arthropathy. Material and Methods: We retrospectively evaluated patients who underwent reverse shoulder arthroplasty between January 1, 2020 and January 1, 2023. We included patients beyond 65 years of age who were diagnosed with rotator cuff tear arthropathy and underwent reverse shoulder arthroplasty surgery. We equally analyzed data of 45 patients who met the study criteria. The five comorbidities involved in the mFI-5 score included diabetes mellitus, hypertension requiring treatment, chronic obstructive pulmonary disease, congestive heart failure, and dependent functional status. We allocated a point for the presence of each comorbidity. We also recorded the age, gender, body mass index (BMI), American Society Anesthesiologist (ASA) grade, comorbidity status, length of hospital stay, and duration of surgery for each patient included. Results: There was no significant correlation between the presence of any complication and the BMI (p=0.38), ASA grade (p=0.41), duration of surgery (p=0.52) and hospital stay (p=0.46). However, the mFI-5 score significantly associated with the presence of complications (p= 0.001). Conclusion: The mFI-5 is an effective and sensitive tool in predicting conditions such as surgical site infection, readmission, and life-threatening complications that occur after a reverse shoulder arthroplasty.
Keywords : Ters omuz artroplastisi, kırılganlık indeksi, komplikasyon, komorbidite

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