老年人营养风险指数能否预测修复全关节关节整形手术中的并发症率和植入物存活率?
Christian T Oakley1, Jaclyn A Konopka1, Vinaya Rajahraman1
1Division of Adult Reconstruction, Department of Orthopedic Surgery, NYU Langone Health, 301 East 17th Street, New York, NY, 10003, USA.
Archives of orthopaedic and trauma surgery
|July 13, 2023
概括
根据老年营养风险指数 (GNRI) 识别的营养不良预测,在修复全关节形术 (rTJA) 患者中,结果会更差. GNRI可以帮助识别患有并发症风险较高的患者,并在rTJA后进行重新审查.
科学领域:
- 整形外科手术 整形外科手术
- 营养科学 营养科学
- 老年医学 老年医学
背景情况:
- 营养不良与整体关节修复术 (rTJA) 的不良结果有关.
- 缺乏对RTJA患者的普遍营养不良指标.
- 本研究评估了老年营养风险指数 (GNRI) 用于RTJA的营养不良评估.
研究的目的:
- 确定GNRI评估的营养不良是否可以独立预测短期并发症.
- 评估GNRI定义的营养不良是否预测RTJA患者的重新修订风险.
- 评估GNRI作为RTJA中营养状况的潜在查工具.
主要方法:
- 对接受rTJA (2011-2021) 的531名患者 (≥65岁) 的回顾性审查.
- 使用手术前的白蛋白,身高和体重计算的GNRI.
- 患者分为正常营养 (GNRI > 98),中度营养不良 (GNRI 92-98) 和严重营养不良 (GNRI < 92) 的患者.
主要成果:
- 严重和中度营养不良与更长的住院时间和更低的家庭出院率相关.
- 营养不良患者的90天主要并发症和再入院率显着更高.
- 卡普兰-梅尔分析显示,营养不良患者的1年和2年再检查生存率更差.
结论:
- 由GNRI定义的中度和重度营养不良独立预测RTJA的并发症和修订率增加.
- 在RTJA候选人中,GNRI是查营养状况的有效工具.
- 在手术前确定营养不良患者可以指导干预措施,以改善RTJA结果.
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