ArticleArthroplasty (London, England)2025
Clinical frailty scale predicts outcomes following total joint arthroplasty.
Article in Arthroplasty (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Can frailty predict complications and mortality in patients undergoing total knee arthroplasty? A systematic review and meta-analysis.Pakistan journal of medical sciences · 2026Article
- The Prognostic Value of Frailty Assessment Tools in Predicting Postoperative Outcomes After Revision Total Hip and Knee Arthroplasty: A Systematic Review.Journal of clinical medicine · 2026Review
- Frailty and Sarcopenia as Predictors of Functional Recovery After Total Hip and Knee Arthroplasty: A Narrative Review.Journal of clinical medicine · 2026Review
- Impact of preoperative education on early outcomes following hip and knee arthroplasty : a 21,000-patient multicentre NHS analysis.Bone & joint open · 2026Article
- Impact of preoperative frailty on complications, readmissions, and functional recovery following total knee arthroplasty in elderly patients.World journal of orthopedics · 2026Article
- Frailty across Hip arthroplasty pathways: vulnerability domains, outcomes, and implications for care-a narrative review.Frontiers in surgery · 2026Review
- Psychometric validation of the simplified Chinese clinical frailty scale in older Chinese patients with end-stage knee osteoarthritis.BMC geriatrics · 2025Article
- Frailty: An overlooked red flag in sports surgery.Journal of experimental orthopaedics · 2025Article
- Epidemiology and factors associated with the perioperative course of patients undergoing hip fracture during the initial phase of the state of emergency declared in 2020.Frontiers in medicine · 2025Article
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6 authors.
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Abstract
backgroundAs the population ages, the number of total joint arthroplasty (TJA) performed is rising, making early identification of patients at risk for adverse events essential to improving care and reducing healthcare costs. The aim of this study was to evaluate the association between Clinical Frailty Scale (CFS) and postoperative outcomes in elective total hip arthroplasty (THA) and total knee arthroplasty (TKA).
methodsWe conducted a retrospective study of prospectively collected data regarding 328 TKAs and 294 THAs at a single institution from February 2019 to February 2020. Patient demographic data were harvested, and the preoperative CFS scores were calculated for all patients and analyzed to identify their associations with the length of stay (LOS), the need for admission to an inpatient rehabilitation unit (IPRU), postoperative complications and patient-reported outcome measures (PROMs).
resultsRobust patients (CFS < 3) had a significantly shorter LOS than their non-robust (CFS > 3) counterparts in both the TKA and THA groups (3.7 vs. 5.2 days, P < 0.001, and 3.8 vs. 5.8 days, P < 0.001, respectively). IPRU admission rates were significantly higher in non-robust than in robust patients. Specifically, none of the robust TKA patients required IPRU admission, whereas up to 39 non-robust patients (11.9%) did (P < 0.001). Similarly, for THA, 9 robust (5.7%) and 30 non-robust (21.9%) patients were admitted to an IPRU (P < 0.001). Non-robust patients had a significantly higher complication rate for both THA (11.0% vs. 6.4%, P = 0.03) and TKA (8.7% vs. 2.6%, P = 0.11). Both cohorts showed significant improvements in PROMs post-surgery, with non-robust patients experiencing greater relative gains than robust patients.
conclusionsCFS is a strong predictor of the hospital length of stay, IPRU admission, and complication rates following TJA. This study also highlighted the link between frailty and PROMs in joint replacement patients. The CFS may be a valuable tool in the preoperative assessment of elective THA and TKA.
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