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FMALE score: combining practical risk scales to improve preoperative predictive accuracy in emergency general surgery: a multi-centre prospective cohort study

Wong, Phui Yuen, Ablett, Andrew D., Myint, Phyo Kyaw, Carter, Ben, McCarthy, Kathryn, Stechman, Michael, Pearce, Lyndsay and Hewitt, Jonathan 2021. FMALE score: combining practical risk scales to improve preoperative predictive accuracy in emergency general surgery: a multi-centre prospective cohort study. The American Journal of Surgery 222 (5) , pp. 911-912. 10.1016/j.amjsurg.2021.04.009

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Abstract

Our increasingly aging population is associated with older people being admitted to surgical wards at a rate surpassing population growth. 1 Although frailty is not exclusive to older adults, its prevalence is positively associated with age. 2 Hewitt et al. observed frailty to independently predict increased length of hospital stay (LOS), 30-day and 90-day mortality for adults aged ≥65 years admitted to emergency general surgery (EGS). 3 Recent evidence has shown that the association between frailty and poor outcomes, is not limited to older adults, but extends to all adult EGS patients. 4 Although risk stratification tools have been derived for EGS patients, none have included a measure for frailty. 5 Previously, Ablett et al. suggested the MALE score to identify older patients at risk of poorer outcomes who may benefit from comprehensive geriatric assessment based on four characteristics obtained at the point of care: Male, Anaemic, Low albumin, and age Eight-five and over. 6 We aimed to investigate whether the accuracy of MALE score could be augmented, through incorporating physical frailty defined by the Clinical Frailty Scale (CFS), and applied to all EGS adults.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: Elsevier
ISSN: 0002-9610
Date of First Compliant Deposit: 8 June 2022
Date of Acceptance: 12 April 2021
Last Modified: 15 Jun 2022 17:38
URI: https://orca.cardiff.ac.uk/id/eprint/150310

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