ORIGINAL RESEARCH article
Front. Surg.
Sec. Orthopedic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1515639
FRAIL Scale Predicts Early Postoperative Shoulder Function and Long-term Satisfaction in Patients Undergoing Arthroscopic Rotator Cuff Repair: A Prospective Case-Control Study
Provisionally accepted
- Jiangsu Kunshan Second People's Hospital, Kunshan, China
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Objective: This study aimed to investigate the relevance of the FRAIL Scale as a predictor of early postoperative shoulder function and long-term satisfaction in patients undergoing arthroscopic rotator cuff repair (ARCR).Methods: A total of 80 patients who underwent ARCR and postoperative rehabilitation training in our hospital from November 2022 to September 2023 were selected as the research subjects. The modified 5-item Frailty Index (mFI-5) was used to assess the frailty status of all patients at admission, and the patients were divided into non-frail and frail groups. To assess postoperative shoulder function, the Oxford Shoulder Score (OSS) and Visual Analog Scale (VAS) for pain were administered to patients at 1-, 6-, and 12-months post-surgery. The ROC curve and Logistic regression were used to assess the predictive value of the frailty scale for early postoperative functional outcomes and patient satisfaction.Results: A total of 80 patients met the inclusion criteria. The frailty assessment results were negatively correlated with postoperative function (r=-0.271, P=0.015). The ROC curve analysis results showed that the area under the ROC curve (AUC) of the frailty scale for predicting postoperative complications, medical complications, surgical-site infections, hospital admission, and adverse discharge were 0.676, 0.642, 0.679, 0.718, and 0.739, respectively. The preoperative frailty score was inversely correlated with the postoperative satisfaction score (r=-0.577, P<0.001), and had the ability to predict longterm patient satisfaction (AUC=0.863, p<0.001).Preoperative frailty level is associated with early postoperative functional outcomes and patient satisfaction after ARCR.
Keywords: ： Frailty Index, Arthroscopic rotator cuff repair, Shoulder function, Patient Satisfaction, postoperative outcomes
Received: 23 Oct 2024; Accepted: 07 Apr 2025.
Copyright: © 2025 Feng, Yang, Hu, Lu, Guo and Xu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Hongkou Xu, Jiangsu Kunshan Second People's Hospital, Kunshan, China
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