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Association Between Wearable Device–Based Measures of Physical Frailty and Major Adverse Events Following Lower Extremity Revascularization
Author(s) -
Bijan Najafi,
Narek Veranyan,
Alejandro ZulbaranRojas,
Catherine Park,
Hung Nguyen,
Quinn Kaleikaumaka Nakahara,
Hector Elizondo-Adamchik,
Jayer Chung,
Joseph L. Mills,
Miguel Montero-Baker,
David G. Armstrong,
Vincent L. Rowe
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.20161
Subject(s) - medicine , revascularization , gait , cohort , physical therapy , incidence (geometry) , stride , physical medicine and rehabilitation , physics , myocardial infarction , optics
Key Points Question Is a wrist-worn frailty meter (FM) that quantifies physical frailty using a 20-second repetitive elbow flexion-extension test a feasible tool for evaluating the risk of 30-day major adverse events (MAEs) after lower-limb revascularization? Findings In this 2-center cohort-study of 152 patients, all participants were able to perform the FM test within 1 week before revascularization, whereas most were unable to perform a gait test because of the presence of foot ulcers. The FM distinguished between those with and without 30-day MAEs. Meaning The results of this study suggest that the FM is feasible and may support surgeons in evaluating the risks and benefits of revascularization in older adults.

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