营养状况对脊柱转移性瘤手术后不良结果的影响
Grant H Rigney1, Elie Massaad1, Ali Kiapour1
1Departments of1Neurosurgery and.
Journal of neurosurgery. Spine
|July 13, 2023
概括
在脊髓转移手术之前优化营养可以改善结果. 更高的预后营养指数 (PNI) 预测更少的并发症,营养咨询减少了伤口问题,有助于患者康复.
科学领域:
- 在瘤学瘤学.
- 神经外科 神经外科
- 营养科学 营养科学
背景情况:
- 脊髓转移的手术显著影响生活质量,但由于患者的脆弱性而具有挑战性.
- 手术前的营养状况至关重要,但预测结果的特定营养标志物仍然不清楚.
- 这项研究检查了营养和脆弱性措施,用于预测脊髓转移手术的结果.
研究的目的:
- 调查脊髓转移手术的患者中各种营养和脆弱性措施的预后重要性.
- 确定风险分层的关键生物标志物,并指导术前干预.
主要方法:
- 对154名脊髓转移手术患者 (2014-2020年) 的回顾性分析.
- 使用转移性脊髓瘤脆弱性指数和通过预后营养指数 (PNI),BMI,白蛋白,白蛋白与血球蛋白的比率以及血小板与淋巴细胞的比率来评估脆弱性.
- 使用新英格兰脊髓转移得分 (NESMS) 的分层和术后生存率和并发症率的分析,重点关注伤口并发症.
主要成果:
- 营养状况正常的患者 (白蛋白与血球蛋白比率,PNI) 的预后更好.
- 一个PNI> 40.4显着与90天并发症的几率降低相关 (OR 0.93).
- 术前营养咨询与术后伤口相关并发症的减少相关 (-5.00%的平均边际效应).
结论:
- 预后营养指数 (PNI) 是预测术后90天内并发症的关键生物标志物.
- 营养咨询是一个重要的手术前干预,与减少伤口并发症风险有关.
- 在脊髓转移患者的术后过程中,营养状况至关重要,应该为治疗计划提供信息.
关键词:
脆弱 脆弱 脆弱 脆弱 脆弱机器学习是机器学习.营养不良 营养不良 营养不良瘤学 在瘤学方面.预测分析 预测分析这种类型的麻症是sarcopenia.脊椎转移的发生.脊柱融合是指脊柱的融合.脊柱外科手术 脊柱外科手术瘤是一个瘤.更多相关视频
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
306
13:37A Mouse Tumor Model of Surgical Stress to Explore the Mechanisms of Postoperative Immunosuppression and Evaluate Novel Perioperative Immunotherapies
Published on: March 12, 2014
30.1K
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
201
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
201
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Aneurysm IV: Nursing Management
8
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
357
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
357
