Multiplicative effect of frailty and obesity on postoperative mortality following spine surgery: a deep dive into the frailty, obesity, and Clavien-Dindo dynamic.

Oluwafemi P OwodunniEvan N CourvilleUchenna Peter-OkakaChristian B RicksMeic H SchmidtChristian A Bowers

Published in: International journal of obesity (2005) (2023)

In this study of 149 163 patients classified as obese and undergoing spine procedures in an international prospective surgical database, the RAI demonstrated superior discrimination compared to the mFI-5 and patient age in predicting postoperative mortality risk. The deleterious effects of frailty and obesity were synergistic as their combined effect predicted worse outcomes.

Keyphrases

weight loss
metabolic syndrome
insulin resistance
type diabetes
high fat diet induced
weight gain
patients undergoing
bariatric surgery
adipose tissue
community dwelling
case report
emergency department
risk factors
cardiovascular disease
body mass index
drug delivery