ArticlePloS one2025
Evaluating the predictive value of frailty scores for critical care admission and hospital stay in elderly surgical patients: A comparison of the mFI-5 and CCI.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled 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.
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.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrailty is a critical determinant of postoperative outcomes in elderly patients. Several frailty assessment tools, including the Modified Frailty Index (MFI-5) and the Charlson Comorbidity Index (CCI), have been proposed to predict complications, hospital length of stay (LoS), and critical care admission. However, their comparative predictive value across a broad spectrum of non-cardiac surgeries remains unclear. The purpose of this study was to assess the predictive ability of MFI-5 and CCI in predicting critical care admission and length of stay (LoS).
methodsThis single-centre retrospective study analysed data from patients over 65 years of age who attended the preoperative assessment clinic at the Mater Misericordiae University Hospital (MMUH), Dublin, between November and December 2023. MFI-5 and CCI scores were calculated, and their ability to predict hospital LoS (>5 days) and critical care admission was assessed using area under the receiver operating characteristic curve (AUROC) analysis.
resultsData from 100 patients were included. Critical care admission was required for 20 patients, and the average hospital length of LoS was 4.5 days. AUROC analysis demonstrated that neither the MFI-5 nor CCI were predictive of critical care admission or extended LoS in this cohort.
conclusionThe findings suggest that MFI-5 and CCI alone may not be sufficient to predict critical care admission or hospital LoS in elderly patients undergoing non-cardiac surgery. Given the multifactorial nature of postoperative risk, future models integrating frailty indices with surgical and anaesthesia-specific factors may enhance predictive accuracy, improve risk stratification, and optimize perioperative resource allocation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.