Ters Omuz Artroplastisi Sonrasında Komplikasyonları Tahmin Etmede 5-Faktörlü Modifiye Kırılganlık İndeksinin Etkinliği

Öz

Amaç: Kırılganlık indeksinin en son ve eşlik eden 5 komorbiditenin değerlendirildiği en kısa versiyonu 5-faktörlü modifiye kırılganlık indeksi (mFI-5) olarak adlandırılır. Rotator cuff artropatisi sonrasında ters omuz artroplastisi uygulanan hastalarda komplikasyonları tahmin etmede mFI-5’in etkinliğini değerlendirmeyi amaçladık. Gereç ve Yöntemler: 1 Ocak 2020 ile 1 Ocak 2023 tarihleri arasında ters omuz artroplastisi uygulanan hastalar retrospektif olarak değerlendirildi. Rotator cuff artropatisi tanısı konulan ve ters omuz artroplastisi uygulanan 65 yaş üstü hastalar çalışmaya dâhil edildi. Çalışma kriterlerini karşılayan 45 hastanın verileri analiz edildi. Diabetes mellitus, tedavi gerektiren hipertansiyon, kronik obstrüktif akciğer hastalığı, konjestif kalp yetmezliği ve bağımlı fonksiyonel durum, mFI-5’te değerlendirilen 5 komorbiditeyi oluşturmaktadır. Her bir komorbiditenin varlığı 1 puan olarak değerlendirildi. Ek olarak çalışmada değerlendirilen her hastanın yaş, cinsiyet, vücut kitle indeksi (VKİ), ASA skoru, eşlik eden hastalık durumu, hastanede yatış süresi ve ameliyat süresi kaydedildi. Bulgular: VKİ (p=0,38), ASA skoru (p=0,41), ameliyat süresi (p=0,52) ve hastanede yatış süresi (p=0,46) ile herhangi bir komplikasyon varlığı arasında anlamlı bir ilişki saptanmadı. Sadece mFI-5 skoru (p=0,001) ile komplikasyon varlığı arasında anlamlı ilişki olduğu tespit edildi. Sonuç: Ters omuz artroplastisi sonrasında cerrahi yara enfeksiyonu, tekrar yatış ve yaşamı tehdit eden komplikasyonlar gibi durumların öngörülmesinde mFI-5 skoru etkili ve hassas bir araçtır.

Anahtar Kelimeler

• Ters omuz artroplastisi
• kırılganlık indeksi
• komplikasyon
• komorbidite

THE EFFICIENCY OF THE 5-FACTOR MODIFIED FRAILTY INDEX EFFECTIVE IN PREDICTING COMPLICATIONS AFTER REVERSE SHOULDER ARTHROPLASTY

Öz

Objective: The latest and shortest version of the frailty index evaluates five comorbidities and is called the 5-factor modified frailty index (mFI-5). We aimed to evaluate the effectiveness of mFI-5 in predicting the complications that occur in patients who undergo reverse shoulder arthroplasty for rotator cuff tear arthropathy. Material and Methods: We retrospectively evaluated patients who underwent reverse shoulder arthroplasty between January 1, 2020 and January 1, 2023. We included patients beyond 65 years of age who were diagnosed with rotator cuff tear arthropathy and underwent reverse shoulder arthroplasty surgery. We equally analyzed data of 45 patients who met the study criteria. The five comorbidities involved in the mFI-5 score included diabetes mellitus, hypertension requiring treatment, chronic obstructive pulmonary disease, congestive heart failure, and dependent functional status. We allocated a point for the presence of each comorbidity. We also recorded the age, gender, body mass index (BMI), American Society Anesthesiologist (ASA) grade, comorbidity status, length of hospital stay, and duration of surgery for each patient included. Results: There was no significant correlation between the presence of any complication and the BMI (p=0.38), ASA grade (p=0.41), duration of surgery (p=0.52) and hospital stay (p=0.46). However, the mFI-5 score significantly associated with the presence of complications (p= 0.001). Conclusion: The mFI-5 is an effective and sensitive tool in predicting conditions such as surgical site infection, readmission, and life-threatening complications that occur after a reverse shoulder arthroplasty.

Anahtar Kelimeler

• Reverse shoulder arthroplasty
• frailty index
• complication
• comorbidity

Kaynakça

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