%0 Journal Article
%T Association Between Modified Frailty Index and Postoperative Outcomes of Cricopharyngeal Myotomy.
%A Haleem A
%A Herz D
%A Kumar KD
%A Chinta SR
%A Sibala DR
%A Hegazin M
%A Eloy JA
%J Otolaryngol Head Neck Surg
%V 0
%N 0
%D 2024 Aug 5
%M 39101400
%F 5.591
%R 10.1002/ohn.935
%X <B>OBJECTIVE: </B>The modified 5-item frailty index (mFI-5) is a comorbidity-based risk stratification tool previously validated in patients undergoing several surgical procedures. This study investigates the association between mFI-5 score and cricopharyngeal myotomy (CM) complications.<BR><B>METHODS: </B>Retrospective database review.<BR><B>METHODS: </B>US hospitals.<BR><B>METHODS: </B>The National Surgical Quality Improvement Program database was queried for patients who underwent CM between 2005 and 2018. mFI-5 score was determined by assigning 1 point for comorbidities including: diabetes mellitus, hypertension, congestive heart failure, chronic obstructive pulmonary disease, and dependent health status. Univariate and multivariable analyses were conducted to determine associations between mFI-5 score and postoperative complications.<BR><B>RESULTS: </B>A total of 1075 patients undergoing CMs were queried and stratified into the following groups: mFI = 0 (n = 412 [38.3%]), mFI = 1 (n = 452 [42.0%]), and mFI ≥ 2 (n = 211 [19.6%]). Univariate analysis showed association between higher mFI-5 scores with older age, higher American Society of Anesthesiologists Classification class, obesity, smoking, dyspnea, and systemic sepsis. Higher mFI-5 was associated with a greater proportion of cumulative surgical complications, cumulative medical complications, pneumonia, myocardial infarction, cumulative morbidity, readmissions, unplanned readmissions, and reoperations. Multivariable analyses found associations between greater mFI-5 score and cumulative morbidity (odds ratio [OR] = 1.95, confidence interval [CI]: 1.29-2.96, P = .002), any surgical complication (OR = 1.80, CI: 1.15-2.79, P = .010), readmission (OR = 1.81, CI: 1.01-3.26, P = .047), and reoperations (OR = 1.96, CI: 1.04-3.68, P = .037).<BR><B>CONCLUSIONS: </B>Evaluating mFI-5 can help assess the risk of postoperative complications for patients undergoing CM.<BR><B>METHODS: </B>Level 4.