Does the prognostic nutritional index have a predictive role in the outcomes of adult cardiac surgery?

Lee, Seok In; Ko, Kwang Pil; Choi, Chang Hyu; Park, Chul Hyun; Park, Kook Yang; Son, Kuk Hui

doi:10.1016/j.jtcvs.2019.08.069

Cited by 32 publications

(44 citation statements)

References 22 publications

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“…At the end of the study, early mortality rates were found to be higher in the group with low PNI values. In addition, the mean length of stay on mechanical ventilation and length of stay in the intensive care unit were found to be significantly higher in this group [33]. In our study patients' were seperated into two groups based on the PNI cutoff value (high-risk group, PNI < 45.85; low-risk group, PNI ≥ 45.85).…”

Section: Discussionmentioning

confidence: 56%

“…There are various studies in the literature investigating the effect of PNI value on clinical outcomes after cardiac operations. In a study conducted by Lee et al [33], the prognostic role of PNI value in predicting early clinical outcomes after cardiac surgery was investigated. In this study, the authors divided the patients into two groups according to the value they determined as cut-off (46.13).…”

Section: Discussionmentioning

confidence: 99%

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Importance of prognostic nutritional index in on-pump coronary artery bypass graft surgery

Gücü

2021

The European Research Journal

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Objectives: A simple and appropriate risk index is still required to show the patient's nutritional status undergoing coronary artery bypass graft (CABG) surgery. This study aimed to evaluate the Prognostic Nutritional Index (PNI) value as a predictor of in-hospital mortality in patients undergoing CABG surgery. Methods: In this study, we scanned the medical data of 742 patients' who underwent on-pump CABG surgery retrospectively. Patients' were divided into two groups based on the PNI cut-off value (high-risk group, PNI < 45.85, n = 230; low-risk group, PNI ≥ 45.85, n = 512). Results: To analyze the factors affecting in-hospital mortality in the postoperative period, univariate and multivariate logistic regression analysis was performed. In univariate analysis, advanced age (Odds ratio (OR):

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Importance of prognostic nutritional index in on-pump coronary artery bypass graft surgery

Gücü

2021

The European Research Journal

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“…It has been found that PNI was associated with one-year mortality (AUC: 0.745; 95% CI: 0.614-0.876) in patients undergoing TAVI and can be used for risk assessment in the preoperative stage. 33 In the study investigating the clinical significance of nutrition in patients undergoing cardiac surgery, Lee et al 37 showed PNI was a useful preoperative nutrition screening tool in predicting early clinical results after cardiac surgery. In this study, AUC in the ROC curve for early morbidity and mortality was 0.57.…”

Section: Discussionmentioning

confidence: 99%

Malnutrition provides important long-term prognostic information in patients undergoing endovascular abdominal aortic aneurysm repair

et al. 2020

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Objectives Malnutrition has been shown to be associated with survival in a variety of diseases. Our aim is to evaluate the prognostic value of objective nutritional indexes indicating malnutrition, in patients underwent endovascular aortic replacement. Methods We retrospectively evaluated 149 consecutive patients who underwent technically successful endovascular aortic replacement operation between October 2010 and August 2019. Objective nutritional indexes, prognostic nutritional index, geriatric nutritional risk index and controlling nutritional status, scores were calculated using the preoperative data. Optimal cut-off values were obtained by receiver operating characteristic analysis. According to the cut-off values, we investigated the relationship between indexes and the long-term all-cause mortality. Results During mean 48.0 ± 30.3 months follow-up duration, in 47 of patients (31.5%), all-cause mortality were documented. In mortality group, prognostic nutritional index (42.8 ± 7.1 vs 51.3 ± 5.2, p < 0.001) and geriatric nutritional risk index (100.7 ± 10.1 vs 107.6 ± 9.2, p < 0.001) were significantly lower, controlling nutritional status score (2.0 (1.0–4.0) vs 1.0 (0.0–2.0), p < 0.001) was higher when compared to survivor group. Kaplan–Meier curves presented higher mortality incidence in malnutrition patients evaluated with objective nutritional indexes (Log-rang test, for all three indexes p < 0.001). Besides Cox-proportional hazard analysis showed all three nutritional indexes may be a predictive marker for all-cause mortality, prognostic nutritional index introduced more valuable data than other two indexes. Conclusions Malnutrition is associated with significant increase in postoperative long-term mortality in endovascular aortic replacement patients. Preoperatively calculated objective nutritional indexes especially prognostic nutritional index can be used as an important prognostic tool.

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“…Moreover, the need to administer a questionnaire with its inherent subjectivity is also eliminated. The data published by Lee and colleagues 5 suggest that malnutrition is highly prevalent in patients undergoing cardiac surgery (up to 26.7% of their cohort), and its relationship with postoperative mortality and adverse events suggests that nutritional status cannot be ignored as major prognostic factor in cardiac surgery.…”

mentioning

confidence: 99%

“…If preoperative nutritional support can be shown to decrease postoperative complications, a true cause-effect relationship between nutritional status and outcomes may exist; the study's current design does not allow the reader to answer this question. Despite these shortcomings, the study by Lee and collegues 5 sheds some light on a novel aspect of perioperative care in which the early detection of malnutrition can serve as a trigger for the initiation of comprehensive nutritional assessment and support to further improve the early and late outcomes of cardiac surgical patients.…”

mentioning

confidence: 99%

Commentary: Indexing the nutritional status of cardiac surgery patients: proof is in the pudding

Mohammadi

Kalavrouziotis

2020

The Journal of Thoracic and Cardiovascular Surgery

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Does the prognostic nutritional index have a predictive role in the outcomes of adult cardiac surgery?

Cited by 32 publications

References 22 publications

Importance of prognostic nutritional index in on-pump coronary artery bypass graft surgery

Importance of prognostic nutritional index in on-pump coronary artery bypass graft surgery

Malnutrition provides important long-term prognostic information in patients undergoing endovascular abdominal aortic aneurysm repair

Commentary: Indexing the nutritional status of cardiac surgery patients: proof is in the pudding

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