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Outcomes

Risk Score Helps Patients and Doctors Make Informed Decisions About Whether to Go Ahead with Surgery

University of Pittsburgh Medical Center used the Risk Analysis Index to screen patients for frailty and decreased its one-year post-surgery mortality rate, so patients were three times more likely to be alive one year after their surgery.

At the University of Pittsburgh Medical Center (UPMC) in Pennsylvania, a team of clinicians and quality improvement specialists adopted the Risk Analysis Index (RAI), a risk score developed by Veterans Affairs (VA) to determine pre-operative frailty. The organization made the RAI a standard part of all pre-op visits for non-emergency surgery. UPMC saw a significant decrease in one-year mortality rates for post-op non-emergent patients, falling 0.2%-0.87% month over month after implementing the RAI, meaning that patients were three times more likely to be alive one year after their surgery. A similar program at the VA hospital in Omaha, Nebraska cut six-month mortality among the frail from nearly 25% to less than 8%, corresponding to a nearly three-fold survival advantage after controlling for age, frailty and comorbidities.

How They Did It:

  • Screened patients for frailty prior to surgery
  • Used risk scores in pre-op decision-making with patients

Read the full article at EpicShare.org.