The main purpose of this study is to establish a frailty automatic evaluation index "AI frailty index" based on artificial intelligence multi-modal non-contact monitoring information analysis. At the same time, the study will explore the correlation between ' AI weakness index ' and perioperative and long-term prognosis and quality of life.
This is a prospective cohort study. Patients who undergoes elective cardiac surgery will be enrolled. We collect frailty scales, clinical information and multi-modal, non-contact monitoring information during hospitalization. One-year follow-up will be done. The non-contact monitoring information are used to predict the frailty scales to establish and validate an AI-based frailty assessment model "AI frailty index". The AI frailty index will be further used to predict perioperative and long-term outcomes.
Study Type
OBSERVATIONAL
Enrollment
521
No intervention
Fuwai hospital
Beijing, Beijing Municipality, China
One-dimensional matrix vector composed of five frailty scale results
Consisting of five frailty scales: Edmonton frailty scale, FRAIL frailty scale, Fried frailty scale, Clinical frailty scale, and SPPB
Time frame: Before and after surgery, up to 2 weeks
30-day adverse events
Including death, readmission, stroke, myocardial infarction, renal insufficiency or renal failure, dialysis, atrial fibrillation, peripheral vascular embolism, bleeding events, heart failure
Time frame: 30 days post operative
1-year adverse events
Including death, readmission, stroke, myocardial infarction, renal insufficiency or renal failure, dialysis, atrial fibrillation, peripheral vascular embolism, bleeding events, heart failure
Time frame: 1 year post operative
EQ-5D score
The score of EQ-5D questionnaire
Time frame: 1 year post operative
QOR-15 score
The score of QOR-15 questionnaire
Time frame: 1 year post operative
Edmonton frailty scale score
The Edmonton frailty scale consists of 11 items for a composite score of 0 to 17, and higher scores mean a worse outcome.
Time frame: 1 year post operative
FRAIL frailty scale score
The FRAIL frailty scale consists of 5 items, with 3 of 5 required to diagnose frailty.
Time frame: 1 year post operative
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Fried frailty scale score
The Fried frailty scale consists of 5 items, with 3 of 5 required to diagnose frailty.
Time frame: 1 year post operative
Clinical frailty scale score
The Clinical frailty scale is scored 1 to 9 based on a semiquantitative evaluation of the patient's symptoms, mobility, inactivity, exhaustion, and disability for basic activities of daily living and instrumental activities of daily living, and higher scores mean a worse outcome.
Time frame: 1 year post operative
Short Physical Performance Battery scale score
The Short Physical Performance Battery scale consists of 3 physical tests, with each scored 0 to 4 for a composite score of 0 to 12, and higher scores mean a better outcome.
Time frame: 1 year post operative
Perioperative adverse events
Including all cause death, stroke, renal insufficiency, deep sternal wound infection, and reoperation
Time frame: From surgery to discharge, up to 7 days
Area under receiver operating curve (AUC)
Area under receiver operating curve of algorithm in predicting frailty scales and outcomes
Time frame: At the end of follow-up (1 mouth)