Evidence map›Paper›PMID 38988306›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2024

Risk Analysis Index Frailty Score as a Predictor of Otolaryngology Surgical Outcomes.

Lauran K Evans, Clare Moffatt, Keon Niknejad, Hong-Ho Yang, Laura Kodaverdian, Shady Soliman, Francis Reyes Orozco, Dinesh K Chhetri

Abstract read
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In one paragraph

Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Risk Analysis Index Outperforms the Modified Frailty Index in Predicting Outcomes in Thyroidectomy and Parathyroidectomy.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  6. Article
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.

Lauran K EvansDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.ORCID 0000-0002-9860-5248
Clare MoffattDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.ORCID 0000-0003-2794-9956
Keon NiknejadThe Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Hong-Ho YangDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Laura KodaverdianDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Shady SolimanDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Francis Reyes OrozcoDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Dinesh K ChhetriDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.

Funding

Enabling careers as surgeon-scientists in otolaryngology-head and neck surgeryR25DC020151 · NIDCD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Jennifer L Long · 2022 to 2026
$887k
NIDCD NIH HHS R25DC020151
6 · The paper itself

Abstract

objectiveThe Risk Analysis Index (RAI) score is a screening tool to assess patient frailty. It has been shown to be predictive of postoperative outcomes and mortality in orthopedic, urologic, and neurosurgical patient populations. We sought to evaluate the predictive ability of RAI score for surgical outcomes in an otolaryngology patient population. STUDY

designRetrospective study.

settingAcademic tertiary medical center.

methodsA retrospective study was conducted of adult patients undergoing otolaryngology surgery at a tertiary medical care center over 21 months. Patients were sent electronic RAI survey questionnaires via direct messaging, which was completed prior to surgery. Endpoint data were analyzed, including demographics, RAI score, and patient outcome data. Univariate analysis, ROC curves, and predictive modeling were utilized.

resultsA total of 517 patients responded to the RAI questionnaire, resulting in a 59.6% response rate. Mean RAI score was 21.38 ± 11.83. Higher RAI scores were associated with increased 30-day readmissions (P < .0015), postoperative complications (P < .001), hospital length of stay (P < .001), and discharge with home health (P < .001). Predictive models for RAI score and postoperative outcomes were created, and a cutoff score of RAI = 30 was established to identify frail patients.

conclusionWe evaluated if RAI scoring predicted postoperative complications in an otolaryngology patient population. Increased RAI score is significantly associated with poorer surgical outcomes, including increased hospital length of stay, 30-day readmissions, and postoperative complications. We propose a predictive model with suggested RAI cutoff scoring for use in the otolaryngology surgical population.

Indexed as

FrailtyOtorhinolaryngologic Surgical ProceduresPostoperative ComplicationsAdultAgedFemaleHumansMaleMiddle AgedPatient ReadmissionPredictive Value of TestsRetrospective StudiesRisk AssessmentSurveys and QuestionnairesTreatment Outcomefrailtyfrailty scoringpostoperative complicationsrisk analysis indexsurgery

Identifiers

PMID38988306
PMCPMC11605035

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.