{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T03:25:10Z","timestamp":1785813910246,"version":"3.56.0"},"reference-count":47,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,8,26]],"date-time":"2023-08-26T00:00:00Z","timestamp":1693008000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The 5-factor frailty index (5-mFI), validated frailty index with Spearmen rho correlation of .95 and C statistic &gt;.7 for predicting postoperative complications, can be preoperatively used to stratify patients prior to parastomal hernia repairs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective review of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database identified patients from 2015 to 2020. 5-mFI scores were calculated by adding one point for each comorbidity present: diabetes mellitus, congestive heart failure (CHF), hypertension requiring medication, severe chronic obstructive pulmonary disease (COPD), non-independent functional status. Primary endpoint was 30-day overall complications; secondary endpoints were 30-day readmission, reoperation, and discharge to care facility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>2924 (52.2% female) patients underwent elective parastomal hernia repair. Univariate analysis showed 5-mFI &gt; 2 had higher rates of overall ( P = .008), pulmonary ( P = .002), cardiovascular ( P = .003)), hematologic ( P = .003), and renal ( P = .002) complications and higher rates of readmission ( P = .009), reoperation ( P = .001), discharge to care facility ( P &lt; .001), and death ( P &lt; .001). Multivariate analysis identified a 5-mFI of 2 or more as an independent risk factor for overall complications [OR: 1.40, 1.03-1.78; P = .032], pulmonary complications [2.97, 1.63-5.39; P &lt; .001], hematological complications [1.60, 1.03-2.47; P = .035], renal complications [2.04, 1.19-3.46; P = .009], readmission [1.54, 1.19-1.99; P &lt; .001], and discharge to facility [2.50, 1.66-3.77; P &lt; .001]. Reoperation was not signification on multivariate analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Parastomal hernia repair patients with 5-mFI score of &gt;2 had higher risk of renal, cardiovascular, pulmonary, and hematologic complications, readmissions, longer hospitalization, discharge to care facility, and mortality, and can be useful during preoperative risk stratification.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348231198102","type":"journal-article","created":{"date-parts":[[2023,8,26]],"date-time":"2023-08-26T11:39:09Z","timestamp":1693049949000},"page":"207-215","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Modified Frailty Index Predicts Postoperative Complications Following Parastomal Hernia Repair"],"prefix":"10.1177","volume":"90","author":[{"given":"Mustafa","family":"Khan","sequence":"first","affiliation":[{"name":"Department of General Surgery, University of Texas Health San Antonio, San Antonio, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4288-7896","authenticated-orcid":false,"given":"Ronit","family":"Patnaik","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University of Texas Health San Antonio, San Antonio, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Lue","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University of Texas Health San Antonio, San Antonio, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haisar","family":"Dao Campi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University of Texas Health San Antonio, San Antonio, TX, 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