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Identifying Frailty Using Point-of-Care Ultrasonography: Image Acquisition and Assessment

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Modified Frailty Index Predicts Complication Risk Following Laparoscopic Common Bile Duct Exploration.

Aashish Rajesh¹, David Limon¹, Prem Patel¹

¹Department of Surgery, University of Texas Health San Antonio, San Antonio, Texas.

The Journal of Surgical Research

|June 15, 2026

Summary

This summary is machine-generated.

The 5-factor modified frailty index (mFI-5) effectively predicts complications after laparoscopic common bile duct exploration (LCBDE). A higher mFI-5 score indicates increased risk for adverse outcomes, aiding in preoperative risk stratification.

Keywords:

Biliary Common bile duct exploration Complications frailty laparoscopic cholecystectomy mFI-5

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Published on: July 24, 2013

Area of Science:

Surgical outcomes research
Patient risk stratification

Background:

Frailty, assessed by the 5-factor modified frailty index (mFI-5), is linked to poor outcomes after surgery.
Laparoscopic common bile duct exploration (LCBDE) is a common procedure for common bile duct stones.

Purpose of the Study:

To evaluate the 5-factor modified frailty index (mFI-5) as a predictor of postoperative outcomes in patients undergoing laparoscopic common bile duct exploration (LCBDE).

Main Methods:

Analysis of the National Surgical Quality Improvement Project dataset (2018-2022).
Inclusion of 1725 patients who underwent laparoscopic common bile duct exploration (LCBDE).
Assessment of risk factors, mFI-5 scores, and postoperative outcomes.

Main Results:

Higher mFI-5 scores correlated with increased all-cause and infectious complications, reoperation, readmission, and longer hospital stays.
mFI-5 score did not predict 30-day postoperative mortality.
mFI-5 thresholds of ≥1 and ≥2 were superior in predicting complications compared to ≥3.

Conclusions:

The 5-factor modified frailty index (mFI-5) is a valuable tool for predicting complications after laparoscopic common bile duct exploration (LCBDE).
mFI-5 enables efficient preoperative risk stratification.
Thresholds of mFI-5 ≥1 or ≥2 are suitable for risk assessment, with ≥2 potentially reducing false positives.