Traven SA, et al. - A total of 58,603 patients of 60 years of age and older who underwent surgical management for hip fractures between 2005 and 2016 were recruited by the researchers in order to assess the modified frailty index (mFI)-5 as a predictor of morbidity and mortality in elderly patients. The mFI-5 was recognized as a strong predictor for total complications; serious medical complications like cardiac arrest, myocardial infarction, septic shock, pulmonary embolism, postoperative dialysis, reintubation, and prolonged ventilator requirement; surgical site infections; readmission; extended hospital length of stay; and mortality, after adjusting for comorbidities. For each point increase, elevation by 29.8% for any complication, 35.4% for serious medical complications, 14.7% for surgical site infections, 24.6% for readmission, and 33.7% for mortality was noted. Hence, in elderly patients who underwent surgery for hip fractures, the mFI-5 was an independent predictor of postoperative morbidity and mortality. Furthermore, in order to optimize patient outcomes, this clinical tool could be utilized by hospitals and surgeons to recognize high-risk patients, accurately counsel patients and families with transparency, and for the guidance of perioperative care.