Frailty Index and Risks in Kidney Stone Surgery
Author Information
Author(s): Chaker Kays, Ouanes Yassine, Marrak Mahdi, Gharbia Nader, Rahoui Moez, Mosbahi Boutheina, Bibi Mokhtar, Chedly Wassim Ben, Nouira Yassine
Primary Institution: Urology Department, LA RABTA Hospital, University of Tunis El Manar, Tunis, Tunisia
Hypothesis
The modified 5-item frailty index (mFI-5) can predict perioperative risks in patients undergoing percutaneous nephrolithotomy (PCNL).
Conclusion
Frailty assessment is useful for identifying patients at risk of complications and extended hospitalization after PCNL.
Supporting Evidence
- 54.06% of patients were not frail, while 28.12% were severely frail.
- Frail patients had a longer hospital stay and higher rates of complications.
- Patients with higher frailty scores were more likely to experience sepsis and significant blood loss.
Takeaway
Doctors can use a simple score to see if patients are weak before kidney stone surgery, helping them avoid problems later.
Methodology
Patients undergoing PCNL from 2015 to 2022 were analyzed using the mFI-5 index to assess frailty and outcomes.
Limitations
The study is retrospective and may not account for all variables affecting outcomes.
Participant Demographics
Mean age of patients was 49 years, with a mix of genders and varying frailty levels.
Statistical Information
P-Value
p<0.001
Digital Object Identifier (DOI)
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