A Comparative Study of CCI, EmSFI, and FTRST Scoring Systems

COMPARISON OF CCI, EmSFI AND fTRST SCORING SYSTEMS IN PREDICTION OF MORTALITY IN EMERGENCY GENERAL SURGERY CASES OVER 65 YEARS OF AGE

Frailty assessment tools and comorbidity indices play a crucial role, particularly in predicting outcomes for elderly patients undergoing emergency surgery. The Emergency Surgery Frailty Index (EmSFI), Charlson Comorbidity Index (CCI), and the Flemish version of the Triage Risk Screening Tool (fTRST) are considered valuable tools that help understand patients perioperative risk profiles. This study aims to investigate the accuracy and clinical utility of these scoring systems in predicting mortality in individuals aged 65 and older undergoing emergency surgery

Inclusion Criteria Patients aged 65 years and older who underwent emergency abdominal surgery

Exclusion Criteria:

• Multiple hospitalizations for the same pathology,
• Initial admission at another facility,
• History of emergency abdominal surgery before the study period,
• Terminal-stage cancer
• Emergency reoperations following elective surgery,
• Surgery while in the intensive care unit.