Modified Frailty Index in prediction of complications after robot-assisted hepatectomy in elderly patients

DONG Shasha; XIN Wenqi

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Medical Journal of the Chinese People Armed Police Forces ›› 2025, Vol. 36 ›› Issue (4) : 314-318.

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Modified Frailty Index in prediction of complications after robot-assisted hepatectomy in elderly patients

DONG Shasha¹, XIN Wenqi²

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Abstract

Objective To evaluate the value of modified frailty index (mFI) in the prediction of complications after robot-assisted hepatectomy in elderly patients. Methods The clinical data of 100 elderly patients undergoing robot-assisted hepatectomy at the Sixth Medical Center of PLA General Hospital from January 2021 to January 2024 were retrospectively analyzed, and the patients were divided into the frailty group (mFI≥0.27) and the non-frailty group (mFI < 0.27) according to the mFI value. The general perioperative data of the two groups were compared to explore the relationship between mFI score and postoperative complications and postoperative outcomes in elderly patients after robot-assisted hepatectomy. The accuracy of mFI score in predicting postoperative complications was evaluated by receiver operating characteristics (ROC) curve. Results A total of 90 elderly patients undergoing hepatectomy were included in this study, including 42 patients in the frailty group and 48 patients in the non-frailty group. There were statistical differences in age, ASA grade and total bilirubin between the two groups(P<0.05). The length of hospital stay and the incidence of complications within 30 days after operation in frailty group were higher than those in non-frailty group with statistically significant differences (P<0.05). Multivariate Logistic regression analysis showed that mFI was the independent risk factor for the complications in respiratory system (OR=5.691; 95%CI: 0.842~0.985; P=0.001), nervous system (OR=5.162; 95%CI: 0.836~0.968; P=0.001), and cardiovascular system (OR=7.548; 95%CI: 0.873~0.996; P=0.001). Conclusions mFI has clinical application value in predicting postoperative complications in elderly patients with robot-assisted hepatectomy.

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modified frailty index / robot-assisted hepatectomy / old age / postoperative complication

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DONG Shasha, XIN Wenqi. Modified Frailty Index in prediction of complications after robot-assisted hepatectomy in elderly patients[J]. Medical Journal of the Chinese People Armed Police Forces. 2025, 36(4): 314-318

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