Related Experiment Video
Updated: Jun 11, 2025
Postoperative Ileus Murine Model
Published on: July 12, 2024
Grip strength predicts postoperative ileus among patients undergoing abdominal minimally invasive surgery: a
Wenquan Liang1, Yuhua Liu2, Xin Guo1
1Department of General Surgery of the First Medical Center, Chinese People's Liberation Army General Hospital, Beijing, 100853, China.
Background:
Postoperative ileus (POI) is a prevalent complication following abdominal surgery, leading to extended hospitalization and escalated medical expenses. Few studies have investigated the association between grip strength and POI after abdominal minimally invasive surgery (MIS).
Methods:
A prospective multicenter cohort study was conducted using data from a prospectively registered database of patients undergoing abdominal MIS from March to December 2022. Grip strength levels were categorized and analyzed for their association with POI using multiple regression analysis with demographic adjustments. A smooth curve was generated to visualize the linear relationship.
Results:
Out of 501 eligible patients, 393 were analyzed, with 67 (17.05%) developing POI. Grip strength was significantly and independently associated with POI, with each 1 kg and 8.57 kg (SD) increase in grip strength resulting in ORs of 0.94 and 0.61, respectively. Grip strength categories specific to sex and age were significantly associated with POI incidence, with individuals in the high grip strength group having a lower risk. Subgroup analysis showed grip strength as a significant predictor of POI risk, especially for males and older individuals. Higher grip strength was associated with a significantly lower risk of POI in males (OR = 0.29, 95% CI 0.09-0.90, p = 0.031) and older adults over 60 years old (OR = 0.31, 95% CI 0.10-0.98, p = 0.046).
Conclusion:
Grip strength can predict the occurrence of POI in patients undergoing abdominal MIS. This can help identify high-risk individuals and improve perioperative management for better outcomes.
Insights
Higher grip strength is linked to a lower risk of postoperative ileus (POI) after abdominal minimally invasive surgery (MIS). This finding aids in identifying patients at risk for POI and optimizing their care.
Area of Science:
- Surgical Outcomes
- Patient Monitoring
- Predictive Biomarkers
Background:
- Postoperative ileus (POI) is a common complication after abdominal surgery, increasing hospital stays and costs.
- Limited research exists on the relationship between grip strength and POI in patients undergoing minimally invasive surgery (MIS).
Purpose of the Study:
- To investigate the association between grip strength and the incidence of POI in patients undergoing abdominal MIS.
- To determine if grip strength can serve as a predictive factor for POI.
Main Methods:
- A prospective multicenter cohort study analyzed data from 393 patients undergoing abdominal MIS.
- Grip strength was measured and categorized, with its association with POI analyzed using multiple regression.
- Demographic factors were adjusted for in the analysis.
Main Results:
- A significant inverse association was found between grip strength and POI incidence (OR=0.61 per 8.57 kg increase).
- Higher grip strength was independently associated with a reduced risk of POI.
- This association was particularly notable in males and individuals over 60 years old.
Conclusions:
- Grip strength is a valuable predictor of POI development in patients undergoing abdominal MIS.
- Assessing grip strength can help identify high-risk individuals for POI.
- Integrating grip strength assessment into perioperative management may improve patient outcomes.
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