Accuracy of diagnosis and health service codes in identifying frailty in Medicare data
Festa N, Shi SM, Kim DH. Accuracy of diagnosis and health service codes in identifying frailty in Medicare data. BMC Geriatrics 2020, 20: 329. PMID: 32894057, PMCID: PMC7487915, DOI: 10.1186/s12877-020-01739-w.Peer-Reviewed Original ResearchConceptsClinical frailty indexFrailty indexFrailty phenotypeMedicare dataClaims-based frailty indexDeficit-accumulation frailty indexMethodsThis cross-sectional studyPopulation health management strategiesService Medicare enrollmentHigh-risk patientsAdministrative claims dataCross-sectional studyClinical knowledgeClinical reference standardAccuracy of diagnosisFrailty statusClinical criteriaContinuous feeClinical definitionClaims dataStudy subsampleFrailtyMedicare enrollmentHealth management strategiesHospital bedsComparative utility of frailty to a general prognostic score in identifying patients at risk for poor outcomes after aortic valve replacement
Shi S, Festa N, Afilalo J, Popma JJ, Khabbaz KR, Laham RJ, Guibone K, Kim DH. Comparative utility of frailty to a general prognostic score in identifying patients at risk for poor outcomes after aortic valve replacement. BMC Geriatrics 2020, 20: 38. PMID: 32013890, PMCID: PMC6998298, DOI: 10.1186/s12877-020-1440-4.Peer-Reviewed Original ResearchConceptsAortic valve replacementTranscatheter aortic valve replacementFrailty indexLee indexPoor outcomeValve replacementSAVR cohortTAVR cohortC-statisticFunctional declineSevere symptomsDeficit-accumulation frailty indexSingle academic medical centerProspective cohort studyHighest c-statisticAcademic medical centerBackgroundCurrent guidelinesSAVR patientsTAVR patientsCohort studyGeriatric assessmentOverall cohortPrognostic scoreMedical CenterCohort