老年人营养风险指数和头癌手术后的术后结果
Praneet C Kaki1, Aman M Patel2, Jason A Brant3
1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Head & neck
|December 31, 2024
概括
老年营养风险指数 (GNRI) 可以预测头癌患者的并发症和死亡率. 使用GNRI优化手术前营养状况可能会改善手术结果.
科学领域:
- 在瘤学瘤学.
- 老年医学 老年医学
- 外科手术的结果
背景情况:
- 老年人营养风险指数 (GNRI) 评估了使用身高,体重和血清白蛋白的术前营养状况.
- 头癌 (HNC) 手术涉及显著的术后风险.
- 评估营养状况对于优化HNC手术患者的治疗结果至关重要.
研究的目的:
- 评估老年营养风险指数 (GNRI) 在预测术后并发症方面的有用性.
- 确定GNRI是否对接受重大头癌手术的患者是一个有价值的预后因素.
主要方法:
- 对2016-2020年国家外科质量改善计划数据库的回顾性分析.
- 根据GNRI得分将患者分为正常,中度和严重的营养不良群体.
- 进行了单变量和多变量二元逻辑回归分析,以确定显著的关联.
主要成果:
- 这项研究包括16,789名接受HNC切除的患者.
- 中度和重度营养不良 (GNRI < 98) 与增加的手术和医疗并发症有显著的关联.
- 此外,GNRI与Clavien-Dindo IV级并发症和30天死亡率也有显著联系.
结论:
- 老年营养风险指数 (GNRI) 是预测HNC患者手术后并发症和死亡率的有用工具.
- GNRI可以作为可修改的手术前预后因素.
- 基于GNRI优化营养状况可能会改善结果,并减少HNC切除后的死亡率.
相关概念视频
Enteral Nutrition I: Orogastric and Nasogastric Feeding
194
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
194
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
75
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...
75
Radiological Investigation III: Pulmonary Angiogram and PET Scan
84
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
84
Peptic Ulcer Disease V: Surgical Management and Nursing Care
228
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
228
Cancer Survival Analysis
328
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
328
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
48
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
48


