Evidence map›Paper›PMID 38586779›Full record

ArticleCureus2024

Modified Frailty Index as a Predictor of Adverse Outcomes in Elective Primary Hip and Knee Replacement Surgery Patients at a Tertiary Care Hospital in Pakistan: A Cross-Sectional Study.

Moiz Ali, Mohammad K Safri, Muhammad Abdullah, Fareeha Nisar, Haider A Lakdawala, Manzar Abbas, Riaz H Lakdawala, Shahryar Noordin

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Moiz AliOrthopedic Surgery, Aga Khan University, Karachi, PAK.
Mohammad K SafriOrthopedic Surgery, Aga Khan University, Karachi, PAK.
Muhammad AbdullahOrthopedic Surgery, Aga Khan University, Karachi, PAK.
Fareeha NisarOrthopedic Surgery, Aga Khan University, Karachi, PAK.
Haider A LakdawalaOrthopedic Surgery, Aga Khan University, Karachi, PAK.
Manzar AbbasOrthopedic Surgery, Aga Khan University, Karachi, PAK.
Riaz H LakdawalaOrthopedic Surgery, Aga Khan University, Karachi, PAK.
Shahryar NoordinOrthopedic Surgery, Aga Khan University, Karachi, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective The objective was to evaluate the modified frailty index as a predictor of early (within 30 days) postoperative complications in total joint arthroplasty patients, in a low middle-income country. Material and methods A cross-sectional study was carried out which included patients with ages ranging from 23 to 86 years, who underwent elective primary Total Hip or Knee Arthroplasties (TKA or THA) between December 2021 and February 2023. Modified frailty index (mFI-5) was calculated and 30-day morbidity and mortality were recorded. Post-operative complications were categorized as either surgical or medical and recorded. Results A total of 175 patients were included, amongst whom the majority were females (68.6%, n=120) and the mean age was 60.5 ± 13.2 years. 85 patients (48.6%) had a mFI-5 score of one while 48 patients (27.4%) had a score of two. Superficial surgical site infection was the most common complication overall in 6 patients (3.4%); however, no case of prosthetic joint infection was noted. Deep vein thrombosis (DVT) was the most common medical complication (1.7%, n=3). 5 patients (2.9%) required re-admission and two mortalities were recorded within the 30-day interval. A significant association was noted between post-operative surgical complications and mFI-5 score (

Indexed as

modified frailty indexpost-operative morbiditypost-operative mortalitytotal hip replacementtotal knee replacement

Identifiers

PMID38586779
PMCPMC10999116

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