Frailty index as predictor for level post-operative care


Joseph M. Lane, MD

Project Description

There is established evidence that frailty is a measurable quality among patients. There are a number of different methods for measuring frailty, and they fall under either performance-based (for instance, the Fried Frailty Index) or self-reported (for instance, the Modified Frailty Index by Farhat et al., 2012) categories. Studies have shown that these measures can have predictive power for surgical outcomes or development of dependence and disability over time. However, no studies have shown whether frailty can acutely predict the level of post-operative care expected for patients entering post-trauma surgery. Specifically, we are interested in predicting the level of post-operative care (ICU, step-down, or floor) for patients undergoing orthopaedic related surgery. For this project we are designing a self-reported test using existing validated scores to measure the frailty of patients admitted to the hospital undergoing trauma surgeries. This information will allow physicians to identify high-risk patients and appropriately adjust management and allocation of resources. Under the guidance of Dr. Joseph Lane, the medical student’s role would be to collect demographic and clinical information, administer the frailty questionnaire, and analyze the data collected. The student will also have the opportunity to participate in some of procedures and follow these patients in clinic.

This position has been filled.