الفهرس 
FRAGILITY FRACTUREOnly 14 pages are availabe for public view
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Abstract
I
n elderly populations, postoperative complications and mortality have increased in tandem with an increase in orthopedic surgery for problems like hip, knee, and spine deterioration. There are insufficient tools to predict postoperative outcomes in the elderly. Multidimensional frailty score (MFS) is one of the tools that have been used to predict postoperative mortality & morbidity.
This thesis was conducted to measure postoperative morbidity and mortality in elderly patients with fragility fractures undergoing orthopedic surgeries by using MFS.
It is a prospective cohort study was conducted on 80 elderly (60 years or older) patients who were admitted to the orthopedic department at Ain Shams University Hospitals. They were presented with fragility fractures and were assessed before the surgical intervention by MFS with cutoff point 5 (score ≤5: low risk & >5: High risk), then followed up for 3 month after the operation for post-operative complications, functional decline, nutritional state, delirium, pain, depression and death.
Our study showed that the MFS has a good discriminatory ability to differentiate between patients who had postoperative complications and those who did not with sensitivity 78.79% and specificity 76.60%. But it has a poor ability to differentiate between patients who died and those who survived.
CONCLUSION
T
he MFS demonstrated a good ability in predicting occurrence of postoperative complications, implying its potential value for preoperative assessment in elderly patients.
RECOMMENDATIONS
F
urther larger prospective studies with longer follow up periods are required to investigate the ability of MFS to predict postoperative morbidity and mortality in Egyptian elderly with fragility fractures undergoing orthopaedic surgeries.