Preoperative prognostic nutritional index as a predictive factor for medical complication after cervical posterior decompression surgery: A multicenter study
Study design: Retrospective longitudinal cohort study. Objective: To investigate postoperative medical complications in patients with malnutrition after cervical posterior surgery. Methods: A total of 256 patients were participated and divided into PNI < 50 group (group L) or PNI ≥ 50 (group H)....
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-04-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/23094990211006869 |
| _version_ | 1819283066947895296 |
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| author | Kenta Kurosu Shin Oe Tomohiko Hasegawa Satoshi Shimizu Go Yoshida Sho Kobayashi Tomotada Fujita Tomohiro Yamada Koichiro Ide Yuh Watanabe Keiichi Nakai Yu Yamato Tatsuya Yasuda Tomohiro Banno Hideyuki Arima Yuki Mihara Hiroki Ushirozako Yukihiro Matsuyama |
| author_facet | Kenta Kurosu Shin Oe Tomohiko Hasegawa Satoshi Shimizu Go Yoshida Sho Kobayashi Tomotada Fujita Tomohiro Yamada Koichiro Ide Yuh Watanabe Keiichi Nakai Yu Yamato Tatsuya Yasuda Tomohiro Banno Hideyuki Arima Yuki Mihara Hiroki Ushirozako Yukihiro Matsuyama |
| author_sort | Kenta Kurosu |
| collection | DOAJ |
| description | Study design: Retrospective longitudinal cohort study. Objective: To investigate postoperative medical complications in patients with malnutrition after cervical posterior surgery. Methods: A total of 256 patients were participated and divided into PNI < 50 group (group L) or PNI ≥ 50 (group H). Patient data, preoperative laboratory data, surgical data, hospitalization data, JOA score, complication data were measured. Results: Group L and group H were 127 and 129 patients, each PNI was L: 44.8 ± 4.3, H: 54.6 ± 4.0, P < 0.01. There was significant difference in mean age (L: 72.2 years vs H: 64.8 years, P < 0.01), BMI (23.1 vs 24.7, P < 0.01), serum albumin (L: 3.9 ± 0.4 g/dl vs H: 4.4 ± 0.3 g/dl, P < 0.01), total lymphocyte count (L: 1.3 ± 0.5 10 3 /µL vs H: 2.1 ± 0.7 10 3 /μL, P < 0.01), hospital stay (L: 25.0 days vs H: 18.8 days, P < 0.05), discharge to home (87.5% vs 57.5%, P < 0.01), delirium (L: 15.9% vs H: 3.9%, P < 0.01), medical complications (L: 25.2% vs H: 7.0%, P < 0.01), pre- and post- operative JOA score (L: 11.3 ± 2.8 vs H: 12.4 ± 2.6, P < 0.01; L: 13.3 ± 3.0 vs H: 14.1 ± 2.4, P = 0.02). Multiple logistic regression analysis showed that significant risk factors for medical complications were PNI<50 (P = 0.024, odds ratio [OR] 2.746, 95% confidence interval [CI] 1.143–6.600) and age (P = 0.005, odds ratio [OR] 1.064, 95% confidence interval [CI] 1.020–1.111). Conclusion: Medical complications are significantly higher in patients with PNI < 50 and higher age. The results showed that PNI is a good indicator for perioperative medical complications in cervical posterior surgery. Improvement of preoperative nutritional status is important to avoid medical complications. Level of evidence: 3 |
| first_indexed | 2024-12-24T01:25:35Z |
| format | Article |
| id | doaj.art-d775a9eaaaba4f7c8509913940a06cca |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-24T01:25:35Z |
| publishDate | 2021-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-d775a9eaaaba4f7c8509913940a06cca2022-12-21T17:22:30ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902021-04-012910.1177/23094990211006869Preoperative prognostic nutritional index as a predictive factor for medical complication after cervical posterior decompression surgery: A multicenter studyKenta Kurosu0Shin Oe1Tomohiko Hasegawa2Satoshi Shimizu3Go Yoshida4Sho Kobayashi5Tomotada Fujita6Tomohiro Yamada7Koichiro Ide8Yuh Watanabe9Keiichi Nakai10Yu Yamato11Tatsuya Yasuda12Tomohiro Banno13Hideyuki Arima14Yuki Mihara15Hiroki Ushirozako16Yukihiro Matsuyama17 Department of Orthopedic Surgery, , Hamamatsu, Japan Department of Orthopedic Surgery, Haibara General Hospital, Haibara, Japan Department of Orthopedic Surgery, Japanese Red Cross Hamamatsu Hospital, Hamamatsu, Japan Department of Orthopedic Surgery, , Toyohashi, Japan Department of Orthopedic Surgery, Aoyama Hospital, Toyokawa, Japan Department of Orthopedic Surgery, Hamamatsu Medical Center, Hamamatsu, Japan Department of Orthopedic Surgery, Enshu Hospital, Hamamatsu, Japan Department of Orthopedic Surgery, Kikugawa General Hospital, Kikugawa, Japan Department of Orthopedic Surgery, , Hamamatsu, Japan Department of Orthopedic Surgery, , Hamamatsu, Japan Department of Orthopedic Surgery, , Iwata, Japan Department of Orthopedic Surgery and Division of Geriatric Musculoskeletal Health, Hamamatsu University School of Medicine, Hamamatsu, Japan Department of Orthopedic Surgery, , Iwata, Japan Department of Orthopedic Surgery, , Hamamatsu, Japan Department of Orthopedic Surgery, , Hamamatsu, Japan Department of Orthopedic Surgery, , Hamamatsu, Japan Department of Orthopedic Surgery, , Hamamatsu, Japan Department of Orthopedic Surgery, , Hamamatsu, JapanStudy design: Retrospective longitudinal cohort study. Objective: To investigate postoperative medical complications in patients with malnutrition after cervical posterior surgery. Methods: A total of 256 patients were participated and divided into PNI < 50 group (group L) or PNI ≥ 50 (group H). Patient data, preoperative laboratory data, surgical data, hospitalization data, JOA score, complication data were measured. Results: Group L and group H were 127 and 129 patients, each PNI was L: 44.8 ± 4.3, H: 54.6 ± 4.0, P < 0.01. There was significant difference in mean age (L: 72.2 years vs H: 64.8 years, P < 0.01), BMI (23.1 vs 24.7, P < 0.01), serum albumin (L: 3.9 ± 0.4 g/dl vs H: 4.4 ± 0.3 g/dl, P < 0.01), total lymphocyte count (L: 1.3 ± 0.5 10 3 /µL vs H: 2.1 ± 0.7 10 3 /μL, P < 0.01), hospital stay (L: 25.0 days vs H: 18.8 days, P < 0.05), discharge to home (87.5% vs 57.5%, P < 0.01), delirium (L: 15.9% vs H: 3.9%, P < 0.01), medical complications (L: 25.2% vs H: 7.0%, P < 0.01), pre- and post- operative JOA score (L: 11.3 ± 2.8 vs H: 12.4 ± 2.6, P < 0.01; L: 13.3 ± 3.0 vs H: 14.1 ± 2.4, P = 0.02). Multiple logistic regression analysis showed that significant risk factors for medical complications were PNI<50 (P = 0.024, odds ratio [OR] 2.746, 95% confidence interval [CI] 1.143–6.600) and age (P = 0.005, odds ratio [OR] 1.064, 95% confidence interval [CI] 1.020–1.111). Conclusion: Medical complications are significantly higher in patients with PNI < 50 and higher age. The results showed that PNI is a good indicator for perioperative medical complications in cervical posterior surgery. Improvement of preoperative nutritional status is important to avoid medical complications. Level of evidence: 3https://doi.org/10.1177/23094990211006869 |
| spellingShingle | Kenta Kurosu Shin Oe Tomohiko Hasegawa Satoshi Shimizu Go Yoshida Sho Kobayashi Tomotada Fujita Tomohiro Yamada Koichiro Ide Yuh Watanabe Keiichi Nakai Yu Yamato Tatsuya Yasuda Tomohiro Banno Hideyuki Arima Yuki Mihara Hiroki Ushirozako Yukihiro Matsuyama Preoperative prognostic nutritional index as a predictive factor for medical complication after cervical posterior decompression surgery: A multicenter study Journal of Orthopaedic Surgery |
| title | Preoperative prognostic nutritional index as a predictive factor for medical complication after cervical posterior decompression surgery: A multicenter study |
| title_full | Preoperative prognostic nutritional index as a predictive factor for medical complication after cervical posterior decompression surgery: A multicenter study |
| title_fullStr | Preoperative prognostic nutritional index as a predictive factor for medical complication after cervical posterior decompression surgery: A multicenter study |
| title_full_unstemmed | Preoperative prognostic nutritional index as a predictive factor for medical complication after cervical posterior decompression surgery: A multicenter study |
| title_short | Preoperative prognostic nutritional index as a predictive factor for medical complication after cervical posterior decompression surgery: A multicenter study |
| title_sort | preoperative prognostic nutritional index as a predictive factor for medical complication after cervical posterior decompression surgery a multicenter study |
| url | https://doi.org/10.1177/23094990211006869 |
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