{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T15:23:27Z","timestamp":1777649007477,"version":"3.51.4"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Distal radius fractures (DRFs) are among the most common orthopaedic injuries. The prevalence of DRFs is increasing across all age groups but remains the second most common fracture in the elderly. The modified frailty index (MFI) often predicts morbidity and mortality in orthopaedic injuries. This study aims to determine the predictive value of MFI on complication rates following DRF and the patient length of stay and discharge outcomes.<\/jats:p><jats:p>\n          Methods\u2003We utilized our MFI to perform a retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Program database.<\/jats:p><jats:p>\n          Results\u2003In a total of 22,313 patients, the average age was 46\u2009\u00b1\u200916. An increase in MFI led to an increase in the odds ratio of readmission and reoperation (p\u2009&lt;\u20090.001). MFI predicted complications, doubling the rate as the score increased from 1 to 2 (p\u2009&lt;\u20090.001). An MFI of 2 also led to a delayed hospital stay of 5 days (p\u2009&lt;\u20090.001), as well as an increase in the odds of patients not being sent home at discharge (p\u2009&lt;\u20090.001). Finally, life-threatening complications were also predicted with an increased MFI, the odds of a life-threatening complication increasing 488.20 times at an MFI of 3 (p\u2009&lt;\u20090.001).<\/jats:p><jats:p>\n          Discussion and Conclusion\u2003While surgical decision-making for frail patients with DRFs remains contentious, this novel 8-item MFI score was significantly associated with the probability of hospital readmission\/reoperation, postoperative complications, and delayed hospital length of stay. Three new parameters were incorporated into our 8-item score compared with the conventional 5; hypoalbuminemia status (&lt; 3.5\u2009mg\/dL), previous diagnosis of osteoporosis, and severe obesity (body mass index\u2009&gt;\u200935) enhancing its sensitivity. Future studies are warranted for its prospective utility in ruling out postsurgical comorbidity.<\/jats:p>","DOI":"10.1055\/s-0043-1764203","type":"journal-article","created":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T23:09:03Z","timestamp":1686956943000},"page":"120-126","source":"Crossref","is-referenced-by-count":4,"title":["Effective Risk Assessment for Distal Radius Fractures: A Rigorous Multivariable Regression Analysis, Using a Novel 8-Item Modified Frailty Index"],"prefix":"10.1055","volume":"13","author":[{"given":"David","family":"Momtaz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, UT Health San Antonio, San Antonio, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullah","family":"Ghali","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farhan","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Rush University Medical Center, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rishi","family":"Gonuguntla","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, UT Health San Antonio, San Antonio, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Travis","family":"Kotzur","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, UT Health San Antonio, San Antonio, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca J.","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, UT Health San Antonio, San Antonio, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umar","family":"Ghilzai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Abbas","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chia","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,6,16]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.hcl.2012.02.001","article-title":"The epidemiology of distal radius fractures","volume":"28","author":"K W 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Surg"},{"issue":"23","key":"ref8","doi-asserted-by":"crossref","first-page":"2146","DOI":"10.2106\/JBJS.J.01597","article-title":"A prospective randomized trial comparing nonoperative treatment with volar locking plate fixation for displaced and unstable distal radial fractures in patients sixty-five years of age and older","volume":"93","author":"R Arora","year":"2011","journal-title":"J Bone Joint Surg Am"},{"issue":"07","key":"ref9","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1007\/s00423-015-1324-9","article-title":"Comparison of treatment outcomes between nonsurgical and surgical treatment of distal radius fracture in elderly: a systematic review and meta-analysis","volume":"400","author":"J-H Ju","year":"2015","journal-title":"Langenbecks Arch Surg"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.spinee.2017.07.003","article-title":"Frailty and sarcopenia do not predict adverse events in an elderly population undergoing non-complex primary elective surgery for degenerative conditions of the lumbar spine","volume":"18","author":"R Charest-Morin","year":"2018","journal-title":"Spine J"},{"issue":"11","key":"ref11","doi-asserted-by":"crossref","first-page":"1812","DOI":"10.1016\/j.spinee.2021.05.011","article-title":"Modified-frailty index does not independently predict complications, hospital length of stay or 30-day readmission rates following posterior lumbar decompression and fusion for spondylolisthesis","volume":"21","author":"A A Elsamadicy","year":"2021","journal-title":"Spine J"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1093\/neuros\/nyaa468","article-title":"Impact of frailty on outcomes following spine surgery: a prospective cohort analysis of 668 patients","volume":"88","author":"N Agarwal","year":"2021","journal-title":"Neurosurgery"},{"key":"ref13","first-page":"S1878","article-title":"The modified 5-item frailty index: a concise and useful tool 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injury","volume":"170","author":"Y Fong","year":"1990","journal-title":"Surg Gynecol Obstet"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1210\/jc.2015-3212","article-title":"Hypoalbuminemia and osteoporosis: reappraisal of a controversy","volume":"101","author":"F Afshinnia","year":"2016","journal-title":"J Clin Endocrinol Metab"},{"issue":"10","key":"ref18","doi-asserted-by":"crossref","first-page":"1926","DOI":"10.1016\/j.jhsa.2014.07.041","article-title":"Readmissions after treatment of distal radius fractures","volume":"39","author":"C M Curtin","year":"2014","journal-title":"J Hand Surg Am"},{"issue":"07","key":"ref19","first-page":"e2000110","article-title":"Readmissions after distal radius fracture open reduction and internal fixation: an analysis of 11,124 patients","volume":"4","author":"R Malpani","year":"2020","journal-title":"J Am Acad Orthop Surg Glob Res 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