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Updated: Jun 17, 2026
Identifying Frailty Using Point-of-Care Ultrasonography: Image Acquisition and Assessment
Published on: July 26, 2024
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.
Introduction:
Frailty, as measured by the 5-factor modified frailty index (mFI-5), is associated with postoperative morbidity and mortality in patients undergoing laparoscopic cholecystectomy. Laparoscopic common bile duct (CBD) exploration (LCBDE) is an increasingly common intervention for biliary disease with CBD stones. This study examines mFI-5 score as a predictor of postoperative outcomes following LCBDE.
Methods:
National Surgical Quality Improvement Project dataset was used to identify 1725 patients receiving LCBDE between 2018 and 2022, as well as risk factors, mFI-5 scores, and postoperative outcomes.
Results:
Higher mFI-5 scores were independently associated with all-cause (P < 0.001) and infectious (P < 0.001) complications, 30-day reoperation (P = 0.03) and readmission (P = 0.005), discharge to care facility (P = 0.03), and hospital length of stay (P < 0.001), but not with 30-day postoperative mortality (P = 0.51). mFI-5 score thresholds of ≥1 and ≥2 both outperformed ≥3 in predicting complications (P = 0.001 and P = 0.008), but were not significantly different from each other (P = 0.20).
Conclusions:
mFI-5 is an effective predictor of complications following LCBDE and represents an efficient method for preoperative risk stratification. An mFI-5 score threshold of ≥1 or ≥2 are both reasonable for this purpose, though a threshold of ≥2 may be preferred to reduce false-positive screenings.
