Geriatric Nutritional Risk Index, a predictive assessment tool, for postoperative complications after abdominal surgery: A prospective multicenter cohort study.
Abdomen
/ surgery
Activities of Daily Living
Aged
Cohort Studies
Comorbidity
Female
Geriatric Assessment
/ methods
Humans
Japan
/ epidemiology
Male
Malnutrition
/ diagnosis
Nutrition Assessment
Nutritional Status
Postoperative Complications
/ diagnosis
Predictive Value of Tests
Prospective Studies
Risk Assessment
/ methods
Surgical Procedures, Operative
/ adverse effects
Geriatric Nutritional Risk Index
abdominal surgery
postoperative complications
postoperative course
preoperative nutritional status
Journal
Geriatrics & gerontology international
ISSN: 1447-0594
Titre abrégé: Geriatr Gerontol Int
Pays: Japan
ID NLM: 101135738
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
26
10
2018
revised:
10
06
2019
accepted:
03
07
2019
pubmed:
26
7
2019
medline:
15
2
2020
entrez:
26
7
2019
Statut:
ppublish
Résumé
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. 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. 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. 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.
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
924-929Informations de copyright
© 2019 Japan Geriatrics Society.
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