{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:24:09Z","timestamp":1787235849290,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T00:00:00Z","timestamp":1707350400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The 5\u2010item modified frailty index (mFI\u20105) has been used to stratify patients based on the risk of postoperative complications in several surgical procedures but has not yet been done in tracheostomies. This study investigates the association between the mFI\u20105 score and tracheostomy complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective database review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>United States hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The National Surgical Quality Improvement Program database was queried for tracheostomy patients between 2005 and 2018. The mFI\u20105 was calculated for each patient by assigning 1 point for each of the following comorbidities: diabetes mellitus, hypertension, congestive heart failure, chronic obstructive pulmonary disease, and functionally dependent health status. Univariate and multivariable analyses were conducted to determine associations between the mFI\u20105 score and postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 4438 patients undergoing tracheostomies were queried and stratified into the following groups: mFI\u2009=\u20090 (N\u2009=\u20091741 [39.2%], mFI\u2009=\u20091 (N\u2009=\u20091720 [38.8%]), mFI\u2009=\u20092 (N\u2009=\u2009726 [16.4%]), and mFI of 3 or higher (N\u2009=\u2009251 [5.7%]). Univariate analysis showed that patients with higher mFI\u20105 scores had a greater proportion of smoking, dyspnea, obesity, steroid use, emergency cases, complications, reoperations, and mortality (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Multivariable analyses found associations between mFI\u20105 score and any complication (odds ratio [OR]: 1.49, 95% confidence interval [CI]: 1.03\u20102.16,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.035), mortality (OR: 2.32, 95% CI: 1.15\u20104.68,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.019), and any medical complication (OR: 2.75, 95% CI: 1.88\u20104.02,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study suggests an association between the mFI\u20105 score and postoperative complications in tracheostomies. mFI\u20105 score can be used to stratify tracheostomy patients by operative risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.667","type":"journal-article","created":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T08:03:56Z","timestamp":1707379436000},"page":"1307-1313","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Association Between Modified Frailty Index and Postoperative Outcomes of Tracheostomies"],"prefix":"10.1002","volume":"170","author":[{"given":"Sree","family":"Chinta","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School Newark NewJersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7268-6142","authenticated-orcid":false,"given":"Afash","family":"Haleem","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School Newark NewJersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhiraj R.","family":"Sibala","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School Newark NewJersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8037-8171","authenticated-orcid":false,"given":"Keshav D.","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School Newark NewJersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navya","family":"Pendyala","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School Newark NewJersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Owais M.","family":"Aftab","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School Newark NewJersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannaan S.","family":"Choudhry","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School Newark NewJersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Hegazin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School Newark NewJersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Anderson","family":"Eloy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School Newark NewJersey USA"},{"name":"Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey Rutgers New Jersey Medical School Newark New Jersey USA"},{"name":"Department of Neurological Surgery Rutgers New Jersey Medical School Newark New Jersey USA"},{"name":"Department of Ophthalmology and Visual Science Rutgers New Jersey Medical School Newark New Jersey USA"},{"name":"Department of Otolaryngology and Facial Plastic, Surgery Saint Barnabas Medical Center\u2014RWJBarnabas Health Livingston New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc8218"},{"key":"e_1_2_8_3_1","unstructured":"OwingsMF KozakLJ.Ambulatory and inpatient procedures in the United States 1996. 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