Author Interviews, Frailty, Hospital Readmissions, JAMA, Stanford, Surgical Research / 27.05.2019
Frailty Linked to Unplanned Readmissions After Elective Outpatient Surgery
MedicalResearch.com Interview with:
Kara Anne Rothenberg.MD
Postdoctoral Research Fellow, Vascular Surgery
Shipra Arya, MD SM FACS
Associate Professor of Surgery
Stanford University School of Medicine
MedicalResearch.com: What is the background for this study?
Response: There is a growing body of literature showing that frailty, a syndrome where patients have increased vulnerability to a stressor (such as surgery), is associated with increased postoperative complications, failure to rescue, and hospital readmissions.
The Risk Analysis Index (RAI), is an easy to use frailty measurement tool that better predicts postoperative mortality than age or comorbidities alone. As the rates of outpatient surgeries rise nationwide, we noted that most of the surgical frailty studies focus only on inpatient surgeries. Elective, outpatient surgery is generally considered low risk for complications and unplanned readmissions, however we hypothesized that for frail patients, it might not be.
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