Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis
<i>Background and Objectives</i>: It has been demonstrated that parameters such as the Controlled Nutrition Status (CONUT) score and Prognostic Nutrition Index (PNI) are beneficial for the assessment of patients’ nutrition. In this study, our objective was to investigate the potential be...
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| Format: | Article |
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MDPI AG
2022-12-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/1/70 |
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| author | Mustafa Zanyar Akkuzu Engin Altıntaş Serkan Yaraş Orhan Sezgin Fehmi Ateş Enver Üçbilek Osman Özdoğan |
| author_facet | Mustafa Zanyar Akkuzu Engin Altıntaş Serkan Yaraş Orhan Sezgin Fehmi Ateş Enver Üçbilek Osman Özdoğan |
| author_sort | Mustafa Zanyar Akkuzu |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: It has been demonstrated that parameters such as the Controlled Nutrition Status (CONUT) score and Prognostic Nutrition Index (PNI) are beneficial for the assessment of patients’ nutrition. In this study, our objective was to investigate the potential benefits of CONUT and, as a prognostic marker of acute pancreatitis, the PNI. <i>Materials and Methods</i>: The data of 361 patients were analysed retrospectively. The PNI and CONUT scores of these patients were retrospectively calculated. They were categorised as CONUT-high (≥3) and CONUT-low (≤2). A PNI ≥ 45 was considered high and a PNI < 45 low. The AP severity and organ failure due to disease were evaluated based on Atlanta 2012. <i>Results:</i> According to the CONUT score, it was found that 209 patients had normal to mild, whereas 152 patients had severe malnutrition. A total of 293 patients had mild AP and 68 thereof had severe AP. The patients with a high CONUT score used more antibiotics, were hospitalised more in intensive care units and experienced organ failure more frequently. There were no intensive care hospitalisations, mortalities, surgical needs and local complications among the patients with a higher PNI score. <i>Conclusions</i>: CONUT and the PNI have proven to be useful prognostic markers not only for predicting nutritional status but also for estimating the severity and results of AP. |
| first_indexed | 2024-03-09T11:45:21Z |
| format | Article |
| id | doaj.art-43b05d686f19401cb0969caa38b9b6f0 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T11:45:21Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-43b05d686f19401cb0969caa38b9b6f02023-11-30T23:23:56ZengMDPI AGMedicina1010-660X1648-91442022-12-015917010.3390/medicina59010070Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute PancreatitisMustafa Zanyar Akkuzu0Engin Altıntaş1Serkan Yaraş2Orhan Sezgin3Fehmi Ateş4Enver Üçbilek5Osman Özdoğan6Department of Gastroenterology, Mersin University Faculty of Medicine, Mersin 33343, TurkeyDepartment of Gastroenterology, Mersin University Faculty of Medicine, Mersin 33343, TurkeyDepartment of Gastroenterology, Mersin University Faculty of Medicine, Mersin 33343, TurkeyDepartment of Gastroenterology, Mersin University Faculty of Medicine, Mersin 33343, TurkeyDepartment of Gastroenterology, Mersin University Faculty of Medicine, Mersin 33343, TurkeyDepartment of Gastroenterology, Mersin University Faculty of Medicine, Mersin 33343, TurkeyDepartment of Gastroenterology, Mersin University Faculty of Medicine, Mersin 33343, Turkey<i>Background and Objectives</i>: It has been demonstrated that parameters such as the Controlled Nutrition Status (CONUT) score and Prognostic Nutrition Index (PNI) are beneficial for the assessment of patients’ nutrition. In this study, our objective was to investigate the potential benefits of CONUT and, as a prognostic marker of acute pancreatitis, the PNI. <i>Materials and Methods</i>: The data of 361 patients were analysed retrospectively. The PNI and CONUT scores of these patients were retrospectively calculated. They were categorised as CONUT-high (≥3) and CONUT-low (≤2). A PNI ≥ 45 was considered high and a PNI < 45 low. The AP severity and organ failure due to disease were evaluated based on Atlanta 2012. <i>Results:</i> According to the CONUT score, it was found that 209 patients had normal to mild, whereas 152 patients had severe malnutrition. A total of 293 patients had mild AP and 68 thereof had severe AP. The patients with a high CONUT score used more antibiotics, were hospitalised more in intensive care units and experienced organ failure more frequently. There were no intensive care hospitalisations, mortalities, surgical needs and local complications among the patients with a higher PNI score. <i>Conclusions</i>: CONUT and the PNI have proven to be useful prognostic markers not only for predicting nutritional status but also for estimating the severity and results of AP.https://www.mdpi.com/1648-9144/59/1/70acute pancreatitisCONUT scorePNInutritionseverityprognosis |
| spellingShingle | Mustafa Zanyar Akkuzu Engin Altıntaş Serkan Yaraş Orhan Sezgin Fehmi Ateş Enver Üçbilek Osman Özdoğan Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis Medicina acute pancreatitis CONUT score PNI nutrition severity prognosis |
| title | Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis |
| title_full | Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis |
| title_fullStr | Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis |
| title_full_unstemmed | Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis |
| title_short | Controlling Nutritional Status (CONUT) Score and Prognostic Nutritional Index (PNI) Are Good Candidates for Prognostic Markers for Acute Pancreatitis |
| title_sort | controlling nutritional status conut score and prognostic nutritional index pni are good candidates for prognostic markers for acute pancreatitis |
| topic | acute pancreatitis CONUT score PNI nutrition severity prognosis |
| url | https://www.mdpi.com/1648-9144/59/1/70 |
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