Geriatric nutritional risk index in screening malnutrition among young adult and elderly trauma patients
Background: The geriatric nutritional risk index (GNRI) calculated as 1.489 × albumin (g/dL) +41.7× (current body weight/ideal body weight) is useful in identifying high-risk for malnutrition in elderly patients with subacute or chronic diseases. Given that trauma patients have sustained injuries in...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health/LWW
2021-01-01
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| Series: | Formosan Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2021;volume=54;issue=5;spage=183;epage=190;aulast=Liu |
| _version_ | 1797712321228832768 |
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| author | Yueh-Wei Liu Ching-Hua Tsai Sheng-En Chou Wei-Ti Su Chi Li Shiun-Yuan Hsu Ching-Hua Hsieh |
| author_facet | Yueh-Wei Liu Ching-Hua Tsai Sheng-En Chou Wei-Ti Su Chi Li Shiun-Yuan Hsu Ching-Hua Hsieh |
| author_sort | Yueh-Wei Liu |
| collection | DOAJ |
| description | Background: The geriatric nutritional risk index (GNRI) calculated as 1.489 × albumin (g/dL) +41.7× (current body weight/ideal body weight) is useful in identifying high-risk for malnutrition in elderly patients with subacute or chronic diseases. Given that trauma patients have sustained injuries in an acute condition, this study is designed to explore the association between GNRI on admission and outcomes in elderly and young adult patients with trauma.
Materials and Methods: From January 01, 2009, to December 31, 2019, a total of 1772 elderly and 2194 young adult trauma patients were categorized into four nutritional risk groups according to GNRI: high-risk group (GNRI <82), moderate-risk group (GNRI 82 to <92), low-risk group (GNRI 92–98), and no-risk group (GNRI >98). Propensity score-matched patient cohorts were created in different nutritional risk groups against the no-risk group to minimize the confounding effects of sex, age, pre-existing comorbidities, Glasgow Coma Scale score, and Injury Severity Score on outcome measurements. Primary outcome was in-hospital mortality, and secondary outcome was the length of hospital stay.
Results: Young adult patients with trauma were comparable in pattern of mortality outcomes and hospital stays to that in elderly patients. Analysis of the selected propensity score-matched patient cohorts revealed that both elderly and young adult patients in the high-risk group had significantly higher odds of mortality (elderly, odds ratio [OR], 6.5; 95% confidence interval [CI], 3.00-14.03; P < 0.009; young adult, OR, 2.7; 95% CI, 1.45-5.11; P = 0.001) and longer hospital stay (elderly, 21.5 days vs. 12.4 days, respectively, P < 0.001; young adults, 22.5 days vs. 14.1 days, respectively, P < 0.001) than those of the no-risk group.
Conclusion: This study demonstrated that the GNRI could serve as a useful screening method to identify high-risk malnutrition in acutely injured trauma patients, including not only the elderly trauma patients but also the young adult trauma patients. |
| first_indexed | 2024-03-12T07:20:00Z |
| format | Article |
| id | doaj.art-33b91e6ab927461e8b4a73d6846f482f |
| institution | Directory Open Access Journal |
| issn | 1682-606X |
| language | English |
| last_indexed | 2024-03-12T07:20:00Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Formosan Journal of Surgery |
| spelling | doaj.art-33b91e6ab927461e8b4a73d6846f482f2023-09-02T22:32:43ZengWolters Kluwer Health/LWWFormosan Journal of Surgery1682-606X2021-01-0154518319010.4103/fjs.fjs_44_21Geriatric nutritional risk index in screening malnutrition among young adult and elderly trauma patientsYueh-Wei LiuChing-Hua TsaiSheng-En ChouWei-Ti SuChi LiShiun-Yuan HsuChing-Hua HsiehBackground: The geriatric nutritional risk index (GNRI) calculated as 1.489 × albumin (g/dL) +41.7× (current body weight/ideal body weight) is useful in identifying high-risk for malnutrition in elderly patients with subacute or chronic diseases. Given that trauma patients have sustained injuries in an acute condition, this study is designed to explore the association between GNRI on admission and outcomes in elderly and young adult patients with trauma. Materials and Methods: From January 01, 2009, to December 31, 2019, a total of 1772 elderly and 2194 young adult trauma patients were categorized into four nutritional risk groups according to GNRI: high-risk group (GNRI <82), moderate-risk group (GNRI 82 to <92), low-risk group (GNRI 92–98), and no-risk group (GNRI >98). Propensity score-matched patient cohorts were created in different nutritional risk groups against the no-risk group to minimize the confounding effects of sex, age, pre-existing comorbidities, Glasgow Coma Scale score, and Injury Severity Score on outcome measurements. Primary outcome was in-hospital mortality, and secondary outcome was the length of hospital stay. Results: Young adult patients with trauma were comparable in pattern of mortality outcomes and hospital stays to that in elderly patients. Analysis of the selected propensity score-matched patient cohorts revealed that both elderly and young adult patients in the high-risk group had significantly higher odds of mortality (elderly, odds ratio [OR], 6.5; 95% confidence interval [CI], 3.00-14.03; P < 0.009; young adult, OR, 2.7; 95% CI, 1.45-5.11; P = 0.001) and longer hospital stay (elderly, 21.5 days vs. 12.4 days, respectively, P < 0.001; young adults, 22.5 days vs. 14.1 days, respectively, P < 0.001) than those of the no-risk group. Conclusion: This study demonstrated that the GNRI could serve as a useful screening method to identify high-risk malnutrition in acutely injured trauma patients, including not only the elderly trauma patients but also the young adult trauma patients.http://www.e-fjs.org/article.asp?issn=1682-606X;year=2021;volume=54;issue=5;spage=183;epage=190;aulast=Liuelderlygeriatric nutritional risk indexmortalitynutritional statustraumayoung adults |
| spellingShingle | Yueh-Wei Liu Ching-Hua Tsai Sheng-En Chou Wei-Ti Su Chi Li Shiun-Yuan Hsu Ching-Hua Hsieh Geriatric nutritional risk index in screening malnutrition among young adult and elderly trauma patients Formosan Journal of Surgery elderly geriatric nutritional risk index mortality nutritional status trauma young adults |
| title | Geriatric nutritional risk index in screening malnutrition among young adult and elderly trauma patients |
| title_full | Geriatric nutritional risk index in screening malnutrition among young adult and elderly trauma patients |
| title_fullStr | Geriatric nutritional risk index in screening malnutrition among young adult and elderly trauma patients |
| title_full_unstemmed | Geriatric nutritional risk index in screening malnutrition among young adult and elderly trauma patients |
| title_short | Geriatric nutritional risk index in screening malnutrition among young adult and elderly trauma patients |
| title_sort | geriatric nutritional risk index in screening malnutrition among young adult and elderly trauma patients |
| topic | elderly geriatric nutritional risk index mortality nutritional status trauma young adults |
| url | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2021;volume=54;issue=5;spage=183;epage=190;aulast=Liu |
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