CME OnDemand: 2022 AOFAS Annual Meeting-Discriminative Ability for Adverse Outcomes in Traumatic Ankle Fracture: A Comparison of the Modified Charlson Comorbidity Index, Elixhauser Comorbidity Measure, and Modified Frailty Index Audio Poster

Discriminative Ability for Adverse Outcomes in Traumatic Ankle Fracture: A Comparison of the Modified Charlson Comorbidity Index, Elixhauser Comorbidity Measure, and Modified Frailty Index Audio Poster

Back to course

Video Transcription

Video Summary

The video discusses the discriminative ability of different comorbidity indices in predicting adverse outcomes in traumatic ankle fracture surgery. The modified Charlson index was found to be the most discriminative for in-hospital mortality, while the Oegshauser index was most discriminative for any adverse event, major adverse event, minor adverse event, and infectious events. Age was the most discriminative demographic variable for in-hospital mortality and minor adverse events, while gender was most predictive of any adverse event, major adverse events, and infectious events. Combining the most predictive comorbidity measure with the most predictive demographic variable yielded better results than using them individually. The study had limitations, including its retrospective approach and reliance on coding information. Using these indices and demographics can improve predictive power in identifying at-risk patients.

Asset Subtitle

Sanket Mehta, Nicholas C. Danford, Venkat Boddapati, Bonnie Y. Chien, MD, Justin K. Greisberg, MD

Keywords

comorbidity indices

adverse outcomes

traumatic ankle fracture surgery

predictive variables

identifying at-risk patients