{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T02:31:44Z","timestamp":1786761104977,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,12,31]],"date-time":"2019-12-31T00:00:00Z","timestamp":1577750400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,12,31]],"date-time":"2019-12-31T00:00:00Z","timestamp":1577750400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,12,31]],"date-time":"2019-12-31T00:00:00Z","timestamp":1577750400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,12,31]],"date-time":"2019-12-31T00:00:00Z","timestamp":1577750400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The purpose of this study is to evaluate the utility of the modified frailty index\u20105 (mFI\u20105) as a predictor for postoperative complications in patients undergoing arthroscopic rotator cuff repair (RCR).<\/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 patients undergoing arthroscopic RCR between 2006 and 2016. The mFI\u20105, a 5\u2010factor score comprising comorbid diabetes, hypertension, congestive heart failure, chronic obstructive pulmonary disease, and functional status limiting independence, was calculated for each patient. Multivariate logistic regression models were used to evaluate the mFI\u20105 score as a predictor for complications including medical complications, surgical\u2010site infections, hospital admission, discharge to a facility, and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 24,477 patients met criteria for inclusion. The mFI\u20105 was a strong predictor for medical complications (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), hospital admission (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), length of stay (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .007), and discharge to a facility (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001) but not surgical\u2010site infections (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .153). For each point increase in mFI\u20105 score, the risk for a medical complication increased by 66%, readmission by 52%, and adverse discharge by 45%. However, of all the measured complications, the mFI\u20105 was the strongest predictor for mortality, with the risk more than doubling for each increase in mFI\u20105 point (odds ratio 2.66,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .025).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The mFI\u20105 is a sensitive tool for predicting life\u2010threatening medical complications, hospital admission, increased length of stay, adverse discharge, and mortality following arthroscopic RCR. The 5 comorbidities comprising the mFI\u20105 are easily obtained through the patient history, making it a practical clinical tool for identifying high\u2010risk patients, informing preoperative counseling, and improving value\u2010based health care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, prognostic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2019.08.036","type":"journal-article","created":{"date-parts":[[2019,12,31]],"date-time":"2019-12-31T11:39:57Z","timestamp":1577792397000},"page":"383-388","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":47,"title":["The 5\u2010Factor Modified Frailty Index Predicts Complications, Hospital Admission, and Mortality Following Arthroscopic Rotator Cuff Repair"],"prefix":"10.1002","volume":"36","author":[{"given":"Sophia A.","family":"Traven","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Medical University of South Carolina Charleston South Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan W.","family":"Horn","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Medical University of South Carolina Charleston South Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Russell A.","family":"Reeves","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Maryland Medical Center Baltimore Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeke J.","family":"Walton","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Medical University of South Carolina Charleston South Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane K.","family":"Woolf","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Medical University of South Carolina Charleston South Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harris S.","family":"Slone","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Medical University of South Carolina Charleston South Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,31]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.10.040"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.11.018"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000000624"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2018.03.001"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2017.05.028"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.08.032"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000380"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2017.11.005"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2013.01.021"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.04.056"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.03.046"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001455"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.05.029"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2018.09.040"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.04.020"},{"key":"e_1_2_2_17_2","unstructured":"American College of Surgeons National Surgical Quality Improvement Program.User guide for the 2013 participant use data filehttps:\/\/www.facs.org\/quality\u2010programs\/acs\u2010nsqip\/participant\u2010use Published November 4 2014. 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