Masatoshi Hanada1,2, Kouta Yamauchi3, Shinjiro Miyazaki4, Jun Hirasawa5, Yohei Oyama6, Yorihide Yanagita2,7, Hideaki Takahata1, Ryo Kozu1,2. 1. Department of Rehabilitation Medicine, Nagasaki University Hospital, Nagasaki, Japan. 2. Department of Cardiopulmonary Rehabilitation Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. 3. Department of Rehabilitation Medicine, Steel Memorial Yawata Hospital, Kitakyushu, Japan. 4. Rehabilitation Center, KKR Takamatsu Hospital, Takamatsu, Japan. 5. Department of Rehabilitation Medicine, Tosei General Hospital, Seto, Japan. 6. Department of Rehabilitation, Japan Community Health care Organization Hokkaido Hospital, Sapporo, Japan. 7. Department of Rehabilitation Medicine, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Abstract
AIM: Patients awaiting abdominal surgery are often malnourished, which puts them at a high risk of postoperative complications. The aim of the present study was to investigate the effects of preoperative nutritional status using the Geriatric Nutritional Risk Index (GNRI) on postoperative complications and the course of recovery for patients undergoing abdominal surgery. METHODS: In this prospective multicenter cohort study, we enrolled patients awaiting abdominal surgery from November 2015 to December 2017. The characteristics of patients and postoperative complications were compared between participants (median age 71 years; interquartile range 66-78 years) with low GNRI (<98) values and high GNRI (≥98) values. Multivariate logistic regression was carried out to identify postoperative complications-related factors. RESULTS: A total of 366 patients who underwent abdominal surgery were assessed. Patients in the low GNRI group had a significantly higher rate of postoperative complications (P = 0.01), and longer length of hospital stay compared with those in the high GNRI group (P < 0.01). Using multivariate analysis, low GNRI was found to be independently associated with postoperative complications (OR 2.50; P = 0.02) and activities of daily living on postoperative day 7 (OR 1.39; P = 0.03). Comorbidities, handgrip force for postoperative complications, age, preoperative chemotherapy and activities of daily living on postoperative day 7 were not independently associated. CONCLUSIONS: Malnutrition indicated by the GNRI might be predictive of postoperative complications after abdominal surgery and the delay of postoperative course. Geriatr Gerontol Int 2019; 19: 924-929.
AIM: Patients awaiting abdominal surgery are often malnourished, which puts them at a high risk of postoperative complications. The aim of the present study was to investigate the effects of preoperative nutritional status using the Geriatric Nutritional Risk Index (GNRI) on postoperative complications and the course of recovery for patients undergoing abdominal surgery. METHODS: In this prospective multicenter cohort study, we enrolled patients awaiting abdominal surgery from November 2015 to December 2017. The characteristics of patients and postoperative complications were compared between participants (median age 71 years; interquartile range 66-78 years) with low GNRI (<98) values and high GNRI (≥98) values. Multivariate logistic regression was carried out to identify postoperative complications-related factors. RESULTS: A total of 366 patients who underwent abdominal surgery were assessed. Patients in the low GNRI group had a significantly higher rate of postoperative complications (P = 0.01), and longer length of hospital stay compared with those in the high GNRI group (P < 0.01). Using multivariate analysis, low GNRI was found to be independently associated with postoperative complications (OR 2.50; P = 0.02) and activities of daily living on postoperative day 7 (OR 1.39; P = 0.03). Comorbidities, handgrip force for postoperative complications, age, preoperative chemotherapy and activities of daily living on postoperative day 7 were not independently associated. CONCLUSIONS: Malnutrition indicated by the GNRI might be predictive of postoperative complications after abdominal surgery and the delay of postoperative course. Geriatr Gerontol Int 2019; 19: 924-929.
Authors: Heather R Kregel; Patrick B Murphy; Mina Attia; David E Meyer; Rachel S Morris; Ezenwa C Onyema; Sasha D Adams; Charles E Wade; John A Harvin; Lillian S Kao; Thaddeus J Puzio Journal: J Trauma Acute Care Surg Date: 2022-03-14 Impact factor: 3.697
Authors: Jung-Wan Yoo; Sunmi Ju; Seung Jun Lee; Yu Ji Cho; Jong Deog Lee; Ho Cheol Kim Journal: Medicine (Baltimore) Date: 2020-06-19 Impact factor: 1.817