ArticleJournal of orthopaedic surgery and research2025
The modified 5-item frailty index in total hip arthroplasty patients: a retrospective cohort from a low-middle income country.
Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- In older adults undergoing surgical fixation or arthroplasty following upper limb fractures, does frailty predict post-operative complications and mortality? A systematic review and meta-analysis.JSES reviews, reports, and techniques · 2026Review
- Fibromyalgia is associated with increased 90-day readmission and procedural utilization during readmission after elective primary total hip arthroplasty.Arthroplasty (London, England) · 2026Article
- Continuous Spinal Anesthesia in Frail Patients Undergoing Orthopedic Hip and Knee Revision Surgery: Advantages, Indications, and Risk Management-A Single-Center Retrospective Experience.Journal of clinical medicine · 2026Article
- Frailty across Hip arthroplasty pathways: vulnerability domains, outcomes, and implications for care-a narrative review.Frontiers in surgery · 2026Review
- Multimorbidity quantification from the perspective of precision management: challenges and strategies.Annals of medicine · 2025Review
- Length of postoperative stay prediction in elderly patients with hip fractures based on machine learning.Frontiers in medicine · 2025Article
- Review
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTotal hip arthroplasty (THA) is increasing in low- and middle-income countries (LMICs) due to rising rates of hip fractures and an aging population. Identifying frail patients at risk for postoperative complications is vital for improving outcomes. This study examines the utility of the Modified 5-Item Frailty Index (mFI-5) in predicting 30-day morbidity and mortality in THA patients in resource-limited settings, where other models like the Elixhauser Comorbidity Measure (ECM) and Charlson Comorbidity Index (CCI) may be impractical due to data constraints.
methodsThis retrospective cohort study included 498 patients undergoing THA at tertiary-care hospital between January 2014 and December 2019. Patients were stratified based on their mFI-5 scores (≤ 1 vs. > 1). Postoperative complications, length of stay, and mortality were compared between groups. Multivariable logistic regression was used to assess outcomes.
resultsOf the 498 patients, 62.8% had an mFI-5 score ≤ 1, and 37.2% had a score > 1. Complication rates were higher in the mFI-5 > 1 group (17.8%) versus the ≤ 1 group (9.6%). After adjusting for covariates, patients with mFI-5 > 1 had a 97% higher likelihood of complications (aOR = 1.97, 95% CI 1.06-3.70). Each additional hospital day increased complication risk by 13% (aOR = 1.13, 95% CI: 1.05-1.21).
conclusionThe mFI-5 is a practical, efficient tool for predicting postoperative complications in THA patients, particularly in resource-limited environments. Its use in LMICs could improve preoperative planning, reduce complications, and provide better outcome estimates for patients and healthcare providers. Given the growing geriatric population, integrating the mFI-5 into routine THA planning could enhance patient care and resource allocation. Further research is needed to validate its use across larger datasets.
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